WO2014109927A1 - Synthesis and isolation of dendrimer based imaging systems - Google Patents

Synthesis and isolation of dendrimer based imaging systems Download PDF

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Publication number
WO2014109927A1
WO2014109927A1 PCT/US2013/078278 US2013078278W WO2014109927A1 WO 2014109927 A1 WO2014109927 A1 WO 2014109927A1 US 2013078278 W US2013078278 W US 2013078278W WO 2014109927 A1 WO2014109927 A1 WO 2014109927A1
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WIPO (PCT)
Prior art keywords
dendrimer
atto
agents
alexa fluor
antibody
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PCT/US2013/078278
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French (fr)
Inventor
Douglas Gurnett MULLEN
Jr. James R. BAKER
Mark M. Banaszak Holl
Baohua Huang
Casey Dougherty
Jack BALL
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The Regents Of The University Of Michigan
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Priority to US14/760,388 priority Critical patent/US20150352230A1/en
Publication of WO2014109927A1 publication Critical patent/WO2014109927A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/0013—Luminescence
    • A61K49/0017—Fluorescence in vivo
    • A61K49/005—Fluorescence in vivo characterised by the carrier molecule carrying the fluorescent agent
    • A61K49/0054—Macromolecular compounds, i.e. oligomers, polymers, dendrimers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6883—Polymer-drug antibody conjugates, e.g. mitomycin-dextran-Ab; DNA-polylysine-antibody complex or conjugate used for therapy
    • A61K47/6885—Polymer-drug antibody conjugates, e.g. mitomycin-dextran-Ab; DNA-polylysine-antibody complex or conjugate used for therapy the conjugate or the polymer being a starburst, a dendrimer, a cascade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/0013—Luminescence
    • A61K49/0017—Fluorescence in vivo
    • A61K49/0019—Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules
    • A61K49/0021—Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules the fluorescent group being a small organic molecule
    • A61K49/0041—Xanthene dyes, used in vivo, e.g. administered to a mice, e.g. rhodamines, rose Bengal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/0013—Luminescence
    • A61K49/0017—Fluorescence in vivo
    • A61K49/005—Fluorescence in vivo characterised by the carrier molecule carrying the fluorescent agent
    • A61K49/0058—Antibodies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/0063—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres
    • A61K49/0069—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form
    • A61K49/0089—Particulate, powder, adsorbate, bead, sphere
    • A61K49/0091—Microparticle, microcapsule, microbubble, microsphere, microbead, i.e. having a size or diameter higher or equal to 1 micrometer
    • A61K49/0093—Nanoparticle, nanocapsule, nanobubble, nanosphere, nanobead, i.e. having a size or diameter smaller than 1 micrometer, e.g. polymeric nanoparticle
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K17/00—Carrier-bound or immobilised peptides; Preparation thereof
    • C07K17/02—Peptides being immobilised on, or in, an organic carrier
    • C07K17/08—Peptides being immobilised on, or in, an organic carrier the carrier being a synthetic polymer

Definitions

  • the present invention relates to novel methods of synthesis and isolation of antibodies conjugated with modular dendrimer nanoparticies.
  • the present invention is directed to antibodies conjugated with novel modular dendrimer nanoparticies having precise numbers of imaging agents, methods of synthesizing the same, compositions comprising such antibodies conjugated with such modular dendrimer nanoparticies, as well as systems and methods utilizing the conjugates (e.g., in imaging settings) (e.g., in diagnostic and/or therapeutic settings) (e.g., for the delivery of therapeutics, imaging, and/or targeting agents).
  • Antibody reagents labeled with molecular iags such as fluorescent dyes are essential tools for medical researchers studying biological processes, and for physicians diagnosing disease and monitoring the administration of therapy.
  • molecular iags such as fluorescent dyes
  • further progress in the field is limited by current technological paradigms that offer poor control over the number and positioning of dyes conjugated to each antibody (see, e.g., Hofer, T.; et al., Biochemistry 2009, 48, (50), 12047-12057; Vira, 8.; et al, Analytical Biochemistry 2010, 402, (2), 146-150; Tadatsu, Y.; ei al., The journal of medical investigation : JMi 2006, 53, (1-2), 52-60).
  • labeled antibodies are neither highly quantitative nor optimally sensitive.
  • labeled antibodies show high levels of batch-to-batch variability.
  • Embodiments of the present invention provide solutions to such problems.
  • embodiments of the present invention provide compositions comprising antibodies conjugated with dendrimer nanoparticies attached to precise numbers of dye agents.
  • embodiments of the present invention provide methods for generating / sjmtbesizing such compositions.
  • embodiments of the present invention provide methods for using such compositions.
  • antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents provide additional benefits through increased efficiency in the manufacturing process, as every antibody can be labeled using the same method. For example, even if reagent manufacturers only used antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents to replace current repertoire of labeled antibodies, antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents permits the accomplishment more easily and with fewer resources.
  • the present invention relates to novel methods of synthesis and isolation of antibodies conjugated with modular dendrimer nanoparticles.
  • the present invention is directed to antibodies conjugated with novel modular dendrimer nanoparticles having precise numbers of imaging agents, methods of synthesizing the same, compositions comprising such antibodies conjugated with such modular dendrimer nanoparticles, as well as systems and methods utilizing the conjugates (e.g., in imaging settings) (e.g., in diagnostic and/or therapeutic settings) (e.g., for the delivery of therapeutics, imaging, and/or targeting agents).
  • the present invention provides compositions comprising a plurality of antibodies having a precise number of imaging agents.
  • the present invention is not limited to particular embodiments pertaining to a plurality of antibodies having a precise number of imaging agents.
  • each of the antibodies within the plurality of antibodies are the same antibody. There is no limitation regarding the type or kind of antibody that may be used within such a pluralit of antibodies. In some embodiments, for example, any of the antibodies recited in Tables 1 and 2 may be used. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody.
  • each of the plurality of antibodies are conjugated with two modular dendrimer nanoparticles.
  • each of the plurality of antibodies have an antibody Fc region, wherein the conjugation between the antibodies and the modular dendrimer nanoparticles occurs at the antibody Fc region.
  • the conjugation at the antibody Fc region occurs via a 1 ,3-dipolar cycloaddition reaction.
  • the modular dendrimer nanoparticles there is no limitation regarding the modular dendrimer nanoparticles.
  • approximately 70% or higher e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81%, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.
  • the modular dendrimer nanoparticles are conjugated with a precise number and kind of imaging agents.
  • the conjugation between the imaging agents and the dendrimer occurs via imaging agent conjugation iigands (e.g., an alkene group, a thiol group, a dieneophiie group, and a diene group) positioned on the dendrimers.
  • imaging agent conjugation iigands e.g., an alkene group, a thiol group, a dieneophiie group, and a diene group
  • the number of imaging agents conjugated with the modular dendrimer nanoparticle there are no limits regarding the number of imaging agents conjugated with the modular dendrimer nanoparticle. In some embodiments, the number of imaging agents is between 1 and 8.
  • the imaging agent is selected from the group consisiting of Aiexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Aiexa Fluor 546 (yellow), Aiexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocyanate (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant VioletTM 421, BD HorizonTM V450, Pacific BlueTM
  • the imaging agent is a mass-spec label selected from the group consisting of 139La, 141 Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146 d, 147Sm, 148Nd, 149Sm, 150 d, 151Eu, I52Sm, I53Eu, 154Sm, 156Gd, 158Gd, 159Tb, 16()Gd, I62Dy, 164Dy, 165Ho, 166 ⁇ , 167Er, 168Er, 169Tm, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb.
  • the imaging agent is a mass-spec label
  • its detection is accomplished with through mass-spectrometry.
  • the modular dendrimer nanoparticle is conjugated with one or more additional funct ional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
  • the modular dendrimer nanoparticles are not limited to a particular type of dendrimer.
  • the modular dendrimer nanoparticles comprise PAMAM dendrsmers.
  • the dendrimers within the plurality of modular dendrimer nanoparticles have terminal branches, wherein the terminal branches comprise a blocking agent.
  • the blocking agent comprises an acetyl group.
  • the present invention provides compositions comprising a plurality of modular dendrimer nanoparticles, wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81%, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.) of the plurality of modular dendrimer nanoparticles have a precise number of imaging agent conjugation ligands.
  • approximately 70% or higher e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81%, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.
  • compositions are not limited to a particular type of imaging agent conjugation ligand.
  • the imaging agent conjugation ligand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group.
  • the imaging agent conjugation ligand is configured for attachment with attachment ligands complexed with imaging agents,
  • each of the plurality of modular dendrimer nanoparticles further comprise an antibody conjugation ligand.
  • the compositions are not limited to a particular type of antibody conjugation ligand.
  • the antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group.
  • the antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
  • the imaging agent conjugation ligands are conjugated with imaging agents.
  • the compositions are not limited to a particular type of imaging agent.
  • the imaging agents are selected from the group consisting of
  • Alexa Fluor 350 blue
  • Alexa Fluor 405 violet
  • Alexa Fluor 430 green
  • Aiexa Fluor 488 cyan-green
  • Alexa Fluor 500 green
  • Alexa Fluor 514 green
  • Alexa Fluor 532 green
  • Alexa Fluor 546 yellow
  • Alexa Fluor 555 yellow-green
  • Alexa Fluor 568 orange
  • Alexa Fluor 594 orange-red
  • Aiexa Fluor 610 red
  • Alexa Fluor 633 red
  • Alexa Fluor 647 red
  • Alexa Fluor 660 red
  • Alexa Fluor 680 red
  • Alexa Fluor 700 red
  • Alexa Fluor 750 red
  • fluorescein isothiocvanate FITC
  • 6-TAMARA acridme orange
  • the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, I44Nd, 145Nd, 146Nd, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 1 71Yb, 172Yb, 174Yb, 175Lu, and 176Yb.
  • the imaging agent is a mass-spec label
  • its detection is accomplished with through mass-spectrometry.
  • the antibody conjugation ligand is conjugated with an antibody.
  • the conjugation with an antibody is at the Fc region of the antibody.
  • the conjugation with an antibody occurs via a 1,3-dipolar cycloaddition reaction.
  • the compositions are not limited to a particular type of antibody.
  • the antibody is a monoclonal antibody.
  • the antibody is a polyclonal antibody.
  • the antibody is an antibody selected from the group consisting of the antibodies shown in Tables I and 2.
  • the plurality of modular dendrimer nanoparticles are conjugated with one or more additional functional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
  • the modular dendrimer nanoparticles are not limited to a particular type of dendrimer.
  • the modular dendrimer nanoparticles comprise PAMAM dendrsmers.
  • the dendrimers within the plurality of modular dendrimer nanoparticles have terminal branches, wherein the terminal branches comprise a blocking agent.
  • the blocking agent comprises an acetyl group.
  • the present invention provides methods for generating pluralities of modular dendrimer nanoparticles wherein approximately 70% or more of the batches of modular dendrimer nanoparticles have a precise number of imaging agent conjugation iigands.
  • the methods comprise conjugating imaging agent conjugation Iigands with a plurality of dendrimer nanoparticles; and separating the plurality of dendrimer nanoparticles conjugated with the imaging agent conjugation Iigands into pluralities based upon the number of imaging agent conjugation Iigands conjugated to the dendrimer nanoparticles, wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81 %, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.) of each batch of modular dendrimer nanoparticles have a precise number of imaging agent conjugation Iigands.
  • the methods are not limited to a particular separation technique and/or method.
  • such separation involves application of reverse phase HPLC to yield a subpopulation of pluralities based upon the number of imaging agent conjugation Iigands conjugated to the dendrimer nanoparticles indicated by a chromatographic trace, and applying a peak fitting analysis to the chromatographic trace to identify pluralities of modular dendrimer nanoparticles wherein approximately 70%> or more of the pluralities of modular dendrimer nanoparticles have a precise number of imaging agent conjugation Iigands.
  • the re verse phase HPLC is performed using silica gel media comprising a carbon moiety, the carbon moiety ranging from C3 to C8.
  • the reverse phase HPLC is performed using CS silica gel media.
  • the re verse phase HPLC is conducted using a mobile phase for elution of the ligand-conjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) water: acetonitrile and ending with 20:80 (v/v) water:acetonitrile.
  • the reverse phase HPLC is conducted using a mobile phase for elution of the ligand-conjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) watenisopropanol and ending with 20:80 (v/v) watenisopropanol.
  • the gradient is applied at a flow rate of 1 ml/min. In some embodiments, the gradient is applied at a flow rate of 10 ml/min. In some embodiments, the peak fitting analysis is performed using a Gaussian fit with an exponential decay tail.
  • the methods are not limited to a particular type of imaging agent conjugation ligand.
  • the imaging agent conjugation ligand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group.
  • the imaging agent conjugation ligand is configured for attachment with attachment ligands complexed with imaging agents.
  • the methods further comprise conjugating an antibody conjugation ligand with one or more of the batches of modular dendrimer nanoparticles have a precise number of imaging agent conjugation ligands.
  • the methods are not limited to a particular type of antibody conjugation ligand.
  • the antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fiuorinated eyclooctyne group, and an alkyne group.
  • the antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
  • the methods further comprise conjugating imaging agents with one or more of the batches of modular dendrimer nanoparticles having a precise number of imaging agent conjugation ligands, wherein the conjugating occurs between the imaging agents and the imaging agent conjugation ligands.
  • the methods are not limited to a particular ty e of imaging agent.
  • the imaging agents are selected from the group consisting of Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocvanate (FTTC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant VioletTM 421, BD HorizonTM V450, Pacific BlueTM, AmCyan
  • the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146 d, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, I67Er, 168Er, 169Tm, 170Er, 1 71Yb, 172Yb, 174Yb, 175Lu, and 176Yb.
  • the methods further comprise conjugating two of the modular dendrimer nanoparticles having a precise number of imaging agent conjugation ligands from one or more of the batches with an antibody.
  • the conjugation with an antibody is at the Fc region of the antibody.
  • the conjugation with an antibody occurs via a 1,3 -dipolar cycloaddition reaction.
  • the methods are not limited to a particular type of antibody.
  • the antibody is a monoclonal antibody.
  • the antibody is a polyclonal antibody.
  • the antibody is an antibody selected from the group consisting of the antibodies shown in Tables 1 and 2.
  • the present invention provides methods of imaging, comprising administering to a sample one or more of the plurality of antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents, wherein the antibodies are capable of binding a cell surface antigens associated with the antibodies, and wherein upon binding with the cell surface antigens associated with the antibodies the imaging agents are detected.
  • the sample is a cell sample. In some embodiments, the sample is within a living subject.
  • the present invention provides methods of imaging a tissue region of interest in a subject, comprising administering to the subject one or more antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents, wherein the one or more antibobies bind to the tissue region of interest, and wherein upon binding with the tissue region of interest the imaging agents are detected, in some embodiments, the subject is a living mammal.
  • the imaging is used to characterize the tissue region of interest. In some embodiments, the characterizing is diagnosing the presence or absence of a disorder.
  • the present invention provides methods of imaging a tissue region of interest in a subject, comprising obtaining a sample fro a subject, wherein the sample comprises a tissue region of interest in the subject, administering to the sample one or more antibodies conjugated with two modular dendnmer nanoparticles having a precise number and kind of imaging agents, wherein the one or more antibodies bind to the tissue region of interest, and wherein upon binding with the tissue region of interest the imaging agents are detected.
  • the subject is a living mammal.
  • imaging is used to characterize the tissue region of interest.
  • the characterizing is diagnosing the presence or absence of a disorder.
  • the present invention provides methods for imaging different antigens having varying abundance quantities in a manner wherein the detected imaging agent intensity is equated.
  • different types of antigens have differing levels of in vivo or in vitro abundance.
  • antibodies directed to the higher abundance antigen are configured to be conjugated with modular clendrimer nanoparticles having fewer imaging agents (e.g., 2 imaging agents) than modular dendrimer nanoparticles conjugated with antibodies directed to the lower abundance antigen (e.g., 16 imaging agents).
  • imaging agents e.g., 2 imaging agents
  • modular dendrimer nanoparticles conjugated with antibodies directed to the lower abundance antigen e.g. 16 imaging agents.
  • Figure 1 shows an embodiment of the present invention having a dendrimer scaffold with an antibody conjugation ligand (orthogonal antibody conjugation linker) and an exact number of imaging agent conjugation iigands (dye attachment sites), and the subsequent attachment of imaging agents (dyes) to the imaging agent conjugation Iigands on the dendrimer scaffold.
  • Figure 2 shows an antibody conjugated with two modular dendrimer nanoparticles having a precise number of imaging agents (DLabei). As shown, the Fc region of the antibody is configured with an azide-modified C- ierminL
  • Figure 3 shows HPLC elution profiles of dendrimers with precise numbers of alkyne- terminated Iigands isolated by Semi-Preparator '- HPLC from the distribution of dendrimer- ligand species.
  • Figure 4 shows imaging results for samples as described in Example 6.
  • the term “subject” refers to any animal (e.g., a mammal), including, but not limited to, humans, non-human primates, rodents, and the like, which is to be the recipient of a particular treatment.
  • the terms “subject” and “patient” are used interchangeably herein in reference to a human subject.
  • non-human animals refers to all non-hitman animals including, but not limited to, vertebrates such as rodents, non-human primates, ovines, bovines, ruminants, lagomorphs, porcines, eaprines, equines, canines, felines, aves, etc.
  • the term "subject suspected of having cancer” refers to a subject that presents one or more symptoms indicative of a cancer (e.g., a noticeable lump or mass) or is being screened for a cancer (e.g., during a routine physical).
  • a subject suspected of having cancer may also have one or more risk factors.
  • a subject suspected of having cancer has generally not been tested for cancer.
  • a "subject suspected of having cancer” encompasses an individual who has received a preliminary diagnosis (e.g., a CT scan showing a mass) but for whom a confirmatory test (e.g., biopsy and/or histology) has not been done or for whom the stage of cancer is not known.
  • the term further includes people who once had cancer (e.g., an individual in remission).
  • a "subject suspected of having cancer” is sometimes diagnosed with cancer and is sometimes found to not have cancer.
  • the term "subject diagnosed with a cancer” refers to a subject who has been tested and found to have cancerous ceils.
  • the cancer may be diagnosed using any suitable method, including but not limited to, biopsy, x-ray, blood test, and the diagnostic methods of the present invention.
  • sample is used in its broadest sense. In one sense, it is meant to include a specimen or culture obtained from any source, as well as biological and environmental samples. Biological samples may be obtained from animals (including humans) and encompass fluids, solids, tissues, and gases. Biological samples include blood products, such as plasma, serum and the like. Environmental samples include environmental material such as surface matter, soil, water, crystals and industrial samples. Such examples are not however to be construed as limiting the sample types applicable to the present invention.
  • drag is meant to include any molecule, molecular complex or substance administered to an organism for diagnostic or therapeutic purposes, including medical imaging, monitoring, contraceptive, cosmetic, nutraceutical, phannaceutical and prophylactic applications.
  • drag is further meant to include any such molecule, molecular complex or substance that is chemically modified and/or operativeiy attached to a biologic or biocompatible structure.
  • the term “purified” or “to purify” or “compositional purity” refers to the removal of components (e.g., contaminants) from a sample or the le vel of components
  • amino acid sequence and terms such as “polypeptide” or “protein” are not meant to limit the amino acid sequence to the complete, native amino acid sequence associated with the recited protein molecule.
  • native protein as used herein to indicate that a protein does not contain amino acid residues encoded by vector sequences; that is, the native protein contains only those amino acids found in the protein as it occurs in nature.
  • a native protein may be produced by recombinant means or may be isolated from a naturally occurring source.
  • portion when in reference to a protein (as in “a portion of a given protein”) refers to fragments of that protein. The fragments may range in size from four amino acid residues to the entire amino acid sequence minus one amino acid.
  • cell culture refers to any in vitro culture of cells. Included within this term are continuous cell lines (e.g., with an immortal phenotype), primary ceil cultures, transformed cell lines, finite cell lines (e.g., non- ransformed cells), and any other cell population maintained in vitro.
  • eukaryote refers to organisms distinguishable from
  • prokaryotes it is intended that the term encompass all organisms with cells that exhibit the usual characteristics of eukaryotes, such as the presence of a true nucleus bounded by a nuclear membrane, within which lie the chromosomes, the presence of membrane-bound organelles, and other characteristics commonly observed in eukaryotic organisms. Thus, the term includes, but is not limited to such organisms as fungi, protozoa, and animals (e.g., humans).
  • in vitro refers to an artificial environment and to processes or reactions that occur within an artificial environment.
  • in vitro environments can consist of, but are not limited to, test tubes and cell culture.
  • in vivo refers to the natural environment (e.g., an animal or a cell) and to processes or reaction that occur within a natural environment.
  • test compound and “candidate compound” refer to any chemical entity, pharmaceutical, dr g, and the like that is a candidate for use to treat or prevent a disease, illness, sickness, or disorder of bodily function (e.g., cancer).
  • Test compounds comprise both known and potential therapeutic compounds, A test compound can be determined to be therapeutic by screening using screening methods known in the art.
  • nanodevice or “nanodevices” or “nanoparticle” or
  • nanoparticles refer, generally, to compositions comprising dendrimers of the present invention.
  • a nanodevice or nanoparticle may refer to a composition comprising a dendrimer of the present invention that may contain one or more Hgands, linkers, and/or functional groups (e.g., a therapeutic agent, a targeting agent, a trigger agent, an imaging agent) conjugated to the dendrimer.
  • the term "degradable linkage,” when used in reference to a polymer refers to a conjugate that comprises a physiologically cleavable linkage (e.g., a linkage that can be hydrolyzed (e.g., in vivo) or otherwise reversed (e.g., via enzymatic cleavage).
  • physiologically cleavable linkages include, but are not limited to, ester, carbonate ester, carbamate, sulfate, phosphate, acyloxyaikyl ether, acetal, and ketal linkages (See, e.g., U.S. Pat. No. 6,838,076).
  • the conjugate may comprise a cleavable linkage present in the linkage between the dendrimer and functional group, or, may comprise a cleavable linkage present in the polymer itself (See, e.g., U.S. Pat. App. Nos. 20050158273 and 20050181449).
  • a “physiologically cleavable” or “hydrolysable” or “degradable” bond is a bond that reacts with water (i.e., is hydrolyzed) under physiological conditions.
  • the tendency of a bond to hydrolyze in water will depend not only on the general type of linkage connecting two central atoms but also on the substituents attached to these central atoms.
  • Appropriate hydrolytically unstable or weak linkages include but are not limited to carboxylate ester, phosphate ester, anhydrides, acetate, ketals, acyloxyalkyl ether, imines, orihoesters, peptides and oligonucleotides.
  • An "enzymaticaUy degradable linkage” means a linkage that is subject to degradation by one or more enzymes.
  • a “hydrolytically stable” linkage or bond refers to a chemical bond (e.g., typically a covalent bond) thai is substantially stable in water (i.e., does not undergo hydrolysis under physiological conditions to any appreciable extent over an extended period of time).
  • hydrolytically stable linkages include, but are not limited to, carbon-carbon bonds (e.g., in aliphatic chains), ethers, amides, urethanes, and the like.
  • NAALADase inhibitor refers to any one of a multitude of inhibitors for the neuropeptidase NAALADase (N-acetylated-alpha linked acidic
  • an inhibitor can be selected from the group comprising, but not limited to, those found in U.S.
  • an "NH 2 -terminal blocking agent” is a functional group that prevents the reactivity ofNH 2 -terminal branches of dendrimers.
  • blocking agents include but are not limited to acetyl groups. Blocking of NH 2 - terminal dendrimers may be partial or complete.
  • an "ester coupling agent” refers to a reagent that can facilitate the formation of an ester bond between two reactants.
  • the present invention is not limited to any particular coupling agent or agents.
  • Examples of coupling agents include but are not limited to 2-chloro-l-methylpyridium iodide and 4-(dimethylamino) pyridine, or
  • the term "glycidolate” refers to the addition of a 2,3-dihydroxylpropyl group to a reagent using glycidol as a reactant.
  • the reagent to which the 2,3-dihydroxylpropyl groups are added is a dendrimer.
  • the dendrimer is a PAMAM dendrimer. Glycidolation may be used generally to add terminal hy droxy! functional groups to a reagent.
  • amino alcohol or “ammo-alcohol” refers to any organic compound containing both an amino and an aliphatic hydroxy! functional group (e.g., which may be an aliphatic or branched aliphatic or aiicyclic or hetero-alicyclic compound containing an amino group and one or more hydroxyl(s)).
  • the generic structure of an amino alcohol may be expressed as NH2-R-(OH) m wherein m is an integer, and wherein R comprises at least two carbon molecules (e.g., at least 2 carbon molecules, 10 carbon molecules, 25 carbon molecules, 50 carbon molecules).
  • one-pot synthesis reaction or equivalents thereof, e.g., “1- pot", “one pot”, etc., refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants. In some embodiments, conjugation between a dendrimer (e.g., a terminal arm of a dendrimer) and a functional !igand is accomplished during a "one-pot" reaction.
  • a dendrimer e.g., a terminal arm of a dendrimer
  • one-pot synthesis reaction or equivalents thereof, e.g., “1 -pot", “one pot”, etc., refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants.
  • a one -pot reaciion occurs wherein a hydroxyl-terminated dendrimer (e.g., HO-PAMAM dendrimer) is reacted with one or more functional ligands (e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent) in one vessel, such conjugation being facilitated by ester coupling agents (e.g., 2-chloro- 1 -methylpyridinium iodide and 4-(dimethylamino) pyridine) (see, e.g., U.S. Patent App. No. 61/226,993).
  • a hydroxyl-terminated dendrimer e.g., HO-PAMAM dendrimer
  • one or more functional ligands e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent
  • ester coupling agents e.g., 2-chlor
  • solvent refers to a medium in which a reaction is conducted. Solvents may be liquid but are not limited to liquid form. Solvent categories include but are not limited to nonpoiar, polar, protic, and aproiic.
  • dialysis refers to a purification method in which the solution surrounding a substance is exchanged over time with another solution. Dialysis is generally performed in liquid phase by placing a sample in a chamber, tubing, or other device with a selectively permeable membrane. In some embodiments, the selectively permeable membrane is cellulose membrane. In some embodiments, dialysis is performed for the purpose of buffer exchange. In some embodiments, dialysis may achieve concentration of the original sample volume. In some embodiments, dialysis may achieve dilution of the original sample volume.
  • precipitation refers to purification of a substance by causing it to take solid form, usually within a liquid context. Precipitation may then allow collection of the purified substance by physical handling, e.g. eentrifugation or filtration.
  • Baker-Huang dendriiner or “Baker-Huang PAMAM dendrimer” refers to a dendrimer comprised of branching units of structure:
  • R comprises a carbon-containing functional group (e.g., CF 3 ).
  • the branching unit is activated to its HNS ester. In some embodiments, such activation is achieved using TSTU. In some embodiments, EDA is added.
  • the dendrimer is further treated to replace, e.g., CF 3 functional groups with NH2 functional groups; for example, in some embodiments, a CF 3 -contaiiiing version of the dendrimer is treated with K2CO 3 to yield a dendrimer with terminal NFI? groups (for example, as shown in U.S. Pat. App. No. 12/645,081), In some embodiments, terminal groups of a Baker-Huang dendrimer are further denvatized and/or further conjugated with other moieties.
  • one or more functional ligands may be conjugated to a Baker-Huang dendrimer, either via direct conjugation to terminal branches or indirectly (e.g., through linkers, through other functional groups (e.g., through an OH- functional group)).
  • the order of iterative repeats from core to surface is amide bonds first, followed by tertiary amines, with ethylene groups intervening between the amide bond and tertiary amines.
  • a Baker-Huang dendrimer is synthesized by convergent synthesis methods.
  • click chemistry refers to chemistry tailored to generate substances quickly and reliably by joining small modular units together (see, e.g., Kolb et al. (2001) Angewandte Chemie Intl. Ed, 40:2004-201 1 : Evans (2007) Ausiralian J. Chem, 60:384-395; Carlmark et al. (2009) Chem. Soc. Rev. 38:352-362).
  • alkyne ligand refers to a ligand bearing an alkyne functional group. In some embodiments, alkyne ligands further comprise an aromatic group. As used herein, the term “azide ligand” refers to a ligand bearing an azide functional group. In some embodiments, azide ligands further comprise an aromatic group.
  • peak fitting analysis refers to mathematical determination of the functional form of a curve in a chromatographic trace.
  • an HPLC trace is used.
  • a reverse phase HPLC trace is used.
  • software is used for peak fitting analysis (e.g., graphing software, image analysis software, data analysis software).
  • the Igor Pro software package is used. Functional forms applied to peaks may include but are not limited to Gaussian, double exponential, polynomial, Lorentzian, linear, exponential, power law, sine, lognormal, Hill equation, sigmoid, or a combination thereof.
  • a combination thereof may be used.
  • Gaussian curve with an exponential decay tail is applied. Fitting peaks may be constrained or not constrained.
  • HPLC high performance liquid chromatography
  • HPLC high pressure liquid chromatography
  • HPLC is used to separate mixtures of molecules on the basis of inherent properties possessed by the molecules including but not limited to size, polarity, ligand affinity, hydrophobicity, and charge.
  • reverse phase HPLC also referred to as “reversed phase HPLC”, “reverse-phase HPLC”, “reversed-phase HPLC”, “RFC” or “RP-HPLC” may be used with methods, systems, and synthesis methods of the present invention.
  • Reverse phase HPLC involves a non-polar stationary phase and an aqueous, moderately polar mobile phase.
  • One common stationary phase is a silica which has been treated with RM ⁇ SiCl, where R is a straight chain alky I group such as CisHs? or CsHj ? .
  • the number of carbons in the straight chain alkyl group can vary (e.g., 2, 3, 4, 5, 6, 7, 8, greater than 8).
  • Retention time can be increased by adding more water to the mobile phase; thereby making the affinity of the hydrophobic analyte for the hydrophobic stationary phase stronger reiaiive to the now more hydrophilic mobile phase.
  • retention time can be decreased by adding more organic solvent to the eluent.
  • the term "distribution” refers to the variance in the number of different ligands attached to a dendrimer within a population of dendrimers. For example, a dendrimer sample in which the average number of ligands attachments (ligand conjugates) is 5 may have a distribution of 0-10 (i.e., some proportion of the dendrimers in the population have no Iigands attached, some proportion of the dendrimers in the population have 10 ligands attached, and other proportions have between 2 and 9 iigands attached.)
  • ligand refers to any moiety covarrierly attached (e.g., conjugated) to a dendrimer branch.
  • Some Iigands may serve as "linkers” such that they intervene or are intended to intervene in the future between the dendrimer branch terminus and another more terminal ligand.
  • Some Iigands have functional utility for specific applications, e.g., for therapeutic, targeting, imaging, or drug delivery function(s).
  • the terms “ligand” and “conjugate” may be used interchangeably.
  • inflammatory disease refers to any disease characterized by inflammation of tissues or cells.
  • Inflammatory diseases may be acute or chronic, and include but are not limited to eczema, inflammatory bowel disease, ulcerative colitis, multiple sclerosis, myocarditis, rheumatoid arthritis, asthma, psoriasis, ischemia/reperfusion injury, ulcerative colitis, necrotizing enterocolitis, pelvic inflammatory disease, empyema, pleurisy, pyelitis, pharyginitis, acne, urinary tract infection, Crohn disease, systemic lupus erythematosus, and acute respiratory distress syndrome.
  • RA rheumatoid arthritis
  • Common symptoms include but are not limited to fatigue, malaise, and morning stiffness.
  • Extra-articular involvement of organs such as the skin, heart, lungs, and eyes can be significant.
  • RA causes joint destruction and thus often leads to considerable morbidity and mortality.
  • structural uniformity refers to the number of ligand conjugations within a dendrimer device (e.g., dendrimer system, ligand-conjugated dendrimer). In a population of dendrimer compositions with 100% structural uniformity, for example, all dendrimer molecules bear the same number of Iigands if one ligand type is present; or the same number of each type of ligand if different ligand types are present. As used herein, high structural uniformity does not preclude variances in dendrimer backbone and/or branches insofar as such variances do not impact the number of ligand attachments. DETAILED DESCRIPTION OF THE INVENTION
  • Embodiments of the present invention describe modular dendrimer nanoparticies with precise numbers of imaging agents (e.g., dye molecules) per particle and antibody conjugation Hands (see, e.g., Figure 1). Such modular dendrimer nanoparticies with precise numbers of imaging agents (e.g., dy e molecules) per particle and antibody conjugation ligands are not limited to particular uses.
  • such modular dendrimer nanoparticles with precise numbers of imaging agents (e.g., dye molecules) per particle and antibody conjugation ligands are used to label antibodies so as to generate antibodies labeled with a quantitative number of imaging agents (e.g., dye molecules) (see, e.g., Figure 2)
  • imaging agents e.g., dye molecules
  • Figure 2 the present invention is not limited to a particular method and/or technique for generating modular dendrimer nanoparticles and/or batches of modular dendrimer nanoparticles.
  • imaging agent conjugation ligands are isolated (e.g., through HPLC isolation techniques) prior to conjugation with imaging agents (e.g., so as to ensure the generation of a batch of modular dendrimer nanoparticl es having precise numbers of imaging agents conjugated to such imaging agent conjugation linkers).
  • the modular dendrimer nanoparticles are additionally complexed with an antibody conjugation ligand.
  • imaging agents e.g., dyes
  • Such techniques ensure that a particular batch of modular dendrimer nanoparticles has a precise number of imaging agents (e.g., dyes).
  • batches of such modular dendrimer nanoparticles having a precise number of imaging agents are complexed with particular antibodies, thereby generating batches of antibodies labeled with precise numbers of imaging agents (e.g., dyes).
  • the modular dendrimer nanoparticles are not limited to utilizing a particular type of dendrimer nanoparticle.
  • Dendrimeric polymers have been described extensively (see, e.g., Tomalia, Advanced Materials 6:529 (1994); Angew, Chem. Int. Ed. Engl, 29: 138 (1990)).
  • Dendrimer polymers are synthesized as defined spherical structures typically ranging from 1 to 20 nanometers in diameter. Methods for manufacturing a G5 PAMAM dendrimer with a protected core are known (U.S. Patent App. No. 12/403,179).
  • the protected core diamine is NH2-CH 2 -CH 2 -NHPG.
  • Molecular weight and the number of terminal groups increase exponentially as a function of generation (the number of layers) of the polymer.
  • half generation PAMAM dendrimers are used.
  • EDA ethylenediamine
  • alkylation of this core through Michael addition results in a half- generation molecule with ester terminal groups; amidation of such ester groups with excess EDA results in creation of a full-generation, amine-terminated dendrimer (Majoros et al, Eds. (2008) Dendrimer-based Nanomedicine, Pan Stanford Publishing Pte. Ltd., Singapore, p.
  • the PAMAM dendrimers are "Baker-Huang dendrimers” or “Baker-Huang PAMAM dendrimers” (see, e.g., U.S.
  • the dendritner core structures dictate several characteristics of the molecule such as the overall shape, density and surface functionality (See, e.g., Tomalia et al., Chem. Int. Ed. Engl., 29:5305 (1990)).
  • Spherical dendrimers can have ammonia as a trivalent initiator core or ethylenediamine (EDA) as a tetravalent initiator core.
  • EDA ethylenediamine
  • rod-shaped dendrimers See, e.g., Yin et al, J. Am. Chem. Soc, 120:2678 ( 1998)) use polyethyleneimine linear cores of varying lengths; the longer the core, the longer the rod.
  • Dendrimers may be characterized by a number of techniques including, but not limited to, eiectrospray-ionization mass spectroscopy, 1 C nuclear magnetic resonance spectroscopy, ⁇ nuclear magnetic resonance spectroscopy, size exclusion chromatography with mufti-angle laser light scattering, ultraviolet spectrophotometry, capillary
  • U.S. Pat. No. 4,507,466, U.S. Pat. No. 4,558,120, U.S. Pat. No. 4,568,737, and U.S. Pat. No. 4,587,329 each describe methods of making dense star polymers with terminal densities greater than conventional star polymers. These polymers have greater/more uniform reactivity than conventional star polymers, i.e. 3rd generation dense star polymers. These patents further describe the nature of the amidoamine dendrimers and the 3- dimensional molecular diameter of the dendrimers.
  • U.S. Pat. No. 4,713,975 describes dense star polymers and their use to characterize surfaces of viruses, bacteria and proteins including enzymes. Bridged dense star polymers are described in U.S. Pat. No. 4,737,550. U.S. Pat. No. 4,857,599 and U.S. Pat. No. 4,871,779 describe dense star polymers on immobilized cores useful as ion-exchange resins, chelation resins and methods of making such polymers.
  • U.S. Pat. No. 5,338,532 is directed to starburst conjugates of dendrimer(s) in association with at least one unit of carried agricultural, pharmaceutical or other material. This patent describes the use of dendrimers to provide means of delivery of high
  • concentrations of carried materials per unit polymer controlled delivery, targeted delivery and/or multiple species such as e.g., drags antibiotics, general and specific toxins, metal ions, radionuclides, signal generators, antibodies, interieukins, hormones, interferons, viruses, viral fragments, pesticides, and antimicrobials.
  • U.S. Pat. No. 6,471,968 describes a dendrimer complex comprising covalently linked first and second dendrimers, with the first dendrimer comprising a first agent and the second dendrimer comprising a second agent, wherein the first dendrimer is different from the second dendrimer, and where the first agent is different than the second agent.
  • PAMAM dendrimers are highly branched, narrowly dispersed synthetic
  • PAMAM dendrimers can be easily modified and conjugated with multiple functionalities such as targeting molecules, imaging agents, and drugs (Thomas et al. (2007) Poly(amidoamine) Dendrimer-based Multifunctional Nanoparticles, in Nanobiotechnolog : Concepts, Methods and Perspectives, Merkin, Ed., Wiley-VCH). They are water soluble, biocompatible, and cleared from the blood through the kidneys (Peer et al. (2007) Nat. Nanoteehnol. 2:751 -760) which eliminates the need for biodegradability. Because of these desirable properties, PAMAM dendrimers have been widely investigated for drug delivery (Esfand et al.
  • U.S. Pat. No. 5,773,527 discloses non-crosslinked polybranched polymers having a cornb- burst configuration and methods of making the same.
  • U.S. Pat. No. 5,631,329 describes a process to produce polybranehed polymer of high molecular weight by forming a first set of branched polymers protected from branchmg; grafting to a core; deprotecting first set branched polymer, then forming a second set of branched polymers protected from branching and grafting to the core having the first set of branched polymers, etc.
  • U.S. Pat. No. 5,902,863 describes dendrimer networks containing lipophilic organosilicone and liydrophilic polyanicloamine nanscopic domains.
  • the networks are prepared from copolydendrimer precursors having PAMAM (hydrophilic) or
  • polyproyleneimine inferiors and organosilicon outer layers are polyproyleneimine inferiors and organosilicon outer layers. These dendrimers have a controllable size, shape and spatial distribution. They are hydrophobic dendrimers with an organosilicon outer layer that can be used for specialty membrane, protective coating, composites containing organic organometallie or inorganic additives, skin patch delivery, absorbants, chromatography personal care products and agricultural products,
  • U.S. Pat. No. 5,795,582. describes the use of dendrimers as adjuvants for influenza antigen. Use of the dendrimers produces antibody titer levels with reduced antigen dose.
  • U.S. Pat. No. 5,898,005 and U.S, Pat. No, 5,861,319 describe specific imniunobinding assays for determining concentration of an anaiyte.
  • U.S. Pat. No. 5,661,025 provides details of a self- assembling polynucleotide delivery system comprising dendrimer poiycation to aid in delivery of nucleotides to target site.
  • This patent provides methods of introducing a polynucleotide into a eukaryotic cell in vitro comprising contacting the ceil with a composition comprising a polynucleotide and a dendrimer polyeation non-covalently coupled to the polynucleotide.
  • the modular dendrimer nanoparticie comprises a PAMAM dendrimer.
  • the modular dendrimer nanoparticles are not limited to having particular types of imaging agent conjugation iigands.
  • imaging agent conjugation ligands include, but are not limited to, alkene groups, thiol groups, dieneophile groups, and diene groups.
  • the imaging agent conjugation ligands are configured for attachment with attachment ligands complexed with imaging agents.
  • the present invention is directed towards generating modular dendrimer nanoparticles with high structural uniformity (e.g., modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands) (e.g., modular dendrimer nanoparticles having precise numbers of imaging agents conjugated to imaging agent conjugation ligands).
  • modular dendrimer nanoparticles with high structural uniformity e.g., modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands
  • modular dendrimer nanoparticles having precise numbers of imaging agents conjugated to imaging agent conjugation ligands e.g., modular dendrimer nanoparticles having precise numbers of imaging agents conjugated to imaging agent conjugation ligands.
  • compositions of the present invention comprise ten or more modular dendrimer nanoparticles having imaging agent conjugation ligands wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 70-73%, 73-75%, 75-80%, 80-81%, 81-85%, 85- 90%, 90-97%, 99.99% or higher) of the modular dendrimer nanoparticles are structurally uniform (e.g., approximately 80% or more of the modular dendrimer nanoparticles have the same number of imaging agent conjugation ligands).
  • approximately 70% or higher e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 70-73%, 73-75%, 75-80%, 80-81%, 81-85%, 85- 90%, 90-97%, 99.99% or higher
  • the modular dendrimer nanoparticles are structurally uniform (e.g., approximately 80% or more of the modular dendrimer nanoparticles have the same number of
  • the modular dendrimer nanoparticles are not limited to having a particular number of imaging agent conjugation ligands.
  • the modular dendrimer nanoparticles have between 1 and 128 imaging agent conjugation ligands.
  • the modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation ligands (e.g., 1 imaging agent conjugation ligand, 2 imaging agent conjugation ligands, 3 imaging agent conjugation ligands, 4 imaging agent conjugation ligands, 5 imaging agent conjugation ligands, 6 imaging agent conjugation ligands, 7 imaging agent conjugation ligands, 8 imaging agent conjugation ligands).
  • embodiments wherein the modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation ligands ensures that antibodies conjugated with two of such modular dendrimer nanoparticles (having conjugated imaging agents) will have between 2 and 16 imaging agents (e.g., between 1 and 8 for each modular dendrimer nanoparticle conjugated to each antibody). So as to ensure the generation of batches of modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands, following attachment of such imaging agent conjugation ligands with dendrimer nanoparticles, isolation techniques are employed to segregate batches of dendrimer nanoparticles with precise numbers of imaging agent conjugation ligands.
  • the modular dendrimer nanoparticles of the present invention may be characterized for size and structural uniformity by any suitable analytical techniques. These include, but are not limited to, atomic force microscopy (AFM), electrospray-ionizatioii mass spectroscopy, MALDI-TOF mass spectroscopy, 13 C nuclear magnetic resonance
  • methods of the present invention involve conjugation of imaging agent conjugation iigands to a dendrimer io yield a population of imaging agent conjugation ligand // dendrimers, which are then subjected to high performance liquid chromatography (e.g., HPLC) (e.g., reverse-phase HPLC) to yield subpopulations of imaging agent conjugation ligand // dendrimers (e.g., subpopulations of dendrimer molecules conjugated with particular numbers of imaging agent conjugation Iigands).
  • HPLC high performance liquid chromatography
  • dendrimers e.g., subpopulations of dendrimer molecules conjugated with particular numbers of imaging agent conjugation Iigands.
  • chromatographic traces from ekstion of these subpopulations are analyzed, for example, using peak fitting analysis methods to identify subpopulation (e.g., subpopulations of dendrimer molecules conjugated with particular numbers of imaging agent conjugation Iigands).
  • methods of the present invention invol ve conjugation of at least one type of ligand to a dendrimer (e.g., conjugation of imaging agent conjugation iigands to a dendrimer) to yield a population of ligand-conjugated dendrimers, which are then subjected to re verse-phase HPLC to yield subpopulations of ligand- conjugated dendrimers.
  • a dendrimer e.g., conjugation of imaging agent conjugation iigands to a dendrimer
  • the chromatographic traces from elution of these subpopulations are analyzed, for example, using peak fitting analysis meihods to identify subpopulation (e.g., subsamples, eluate fractions) wherein the structural uniformity of ligand conjugates within each subpopulation (e.g., subsample, eluate fraction) is 80% or higher (e.g., 70-73%, 73-75%, 75-80%, 80-81 %, 81-85%, 85-90%, 90-97%, 99.99% or higher).
  • Such methods are compatible with other analytical meihods for structural determination or molecular analysis, such analytical methods including but not limited to nuclear magnetic resonance (NMR) (e.g., ] H NMR), gel permeation chromatograph (GPC), mass spectrometry methods (MS) (e.g., MALDI-TOF-MS), and potentiometric titration.
  • NMR nuclear magnetic resonance
  • GPC gel permeation chromatograph
  • MS mass spectrometry methods
  • MALDI-TOF-MS MALDI-TOF-MS
  • Peak fitting analysis and distribution analysis are also compatible with mathematical modeling meihods.
  • Such mathematical modeling methods may include application of a. two path kinetic model which allows for deviations from the Poisson distribution by varying the activation energy of the reaction a a function of n Iigands on the dendrimer, e.g.,
  • skewed-Poisson, Poisson, or Gaussian distribution models may be utilized to analyze dendrimer distributions.
  • the present invention is also directed towards products synthesized and/or prepared using methods of the present invention, e.g., by conjugation of at least one type of ligand (e.g, imaging agent conjugation Iigands) to a dendrimer to yield a population of ligand-conjugated dendrimers, which are then subjected to reverse-phase HPLC to yield subpopulations of ligand-conjugated dendrimers; and analyzing the chromatographic traces from elution of these subpopulations using peak fitting analysis methods to identify subpopulation (e.g., subsamples, eluate fractions) wherein the structural uniformity of ligand conjugates within each subpopulation (e.g., subsample, eluate fraction) is 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 73-75%, 75-80%, 80-81%, 81-85%, 85-90%, 90-97%, 99.99% or higher) (
  • NM nuclear magnetic resonance
  • GPC gel permeation chromatograph
  • MS mass spectrometry methods
  • the modular dendrimer nanoparticles are not limited to conjugation with a particular type of imaging agent.
  • imaging agents include, but are not limited to, molecular dyes, fluorescein isothiocyanate (Fl ' T ' C), 6-TAMARA, acridine orange, and cis-parinaric acid.
  • the imaging agents are moleculear dyes from the alexa fluor
  • imaging agents include, but are not limited to, Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Aiexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Aiexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocyanate (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant VioletTM 421,
  • PE phycoerythrin
  • APC allophycocyanin
  • PE-CyTM5 PerCP, PerCP-CyTM5.5, PE-CyTM7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamme, TPJTC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FluorXTM, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, aminocoumarin, 3-azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight ⁇ 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, At
  • the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, I44 d, 145Nd, 146Nd, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 1528m, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, I60Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb,
  • the imaging agents are conjugated with linkage agents.
  • linkage agents include, but are not limited to, thiol groups, diene groups, dieneophile groups, and alkene groups.
  • the imaging agents are configured to facilitate attachment with imaging agent conjugation ligands (e.g., imaging agent conjugation ligands attached to modular dendrimer nanoparticies).
  • imaging agent conjugation ligands e.g., imaging agent conjugation ligands attached to modular dendrimer nanoparticies.
  • the imaging agent linkage agent is a thiol group and the imaging agent conjugation ligand is an alkene group.
  • the imaging agent linkage agent is an alkene group and the imaging agent conjugation ligand is a thiol group.
  • the imaging agent linkage agent is a diene group and the imaging agent conjugation ligand is a dieneophile group. In some embiments, the imaging agent linkage agent is a dieneophile group and the imaging agent conjugation ligand is a diene group.
  • the modular dendrimer nanoparticies are not limited to conjugation with a particular type of antibody conjugation ligand.
  • antibody conjugation ligands include, but are not limited to, cyclooctyne groups, fluorinated cyclooctyne groups, and alkyne groups.
  • the antibody conjugation ligand is any type of ligand that facilitates conjugation with another chemical group via click chemistry.
  • the modular dendrimer nanoparticies are not limited to having a particular number of antibody conjugation ligands. In some embodiments, the modular dendrimer nanoparticies are conjugated with one antibody conjugation ligand.
  • the modular dendrimer nanoparticies having precise numbers of imaging agents are conjugated with antibodies.
  • the present invention is not limited to a particular type of antibody.
  • the antibody is a monoclonal antibody.
  • the antibody is a polyclonal antibody.
  • antibodies include, but are not limited to, the following antibodies shown in Table I and Table 2 (with type, source, and target):
  • Basiliximab mab chimeric CD25 (a chain of IL-2 receptor)
  • Daclizumab mab humanized CD25 (a chain of IL-2 receptor)
  • Efalizumab mab humanized LFA-1 (CD 1 1a)
  • Girentuximab mab chimeric carbonic anhydrase 9 (CA-IX)
  • Igovomab F(ab')2 mouse CA-125
  • Iratumumab mab human CD30 (TNFRSF8)
  • Sonepcizumab 9 humanized sphingosine- 1 -phosphate
  • Toralizumab mab humanized CD 154 (CD40L)
  • trastuzumab mab humanized HER2/neu trastuzumab mab humanized HER2/neu
  • VAP- 1 Vapaliximab mab chimeric AOC3
  • VAP-1 Vepalimomab mab mouse AOC3
  • Fab fragment, antigen -binding (one arm)
  • F(ab') 2 fragment, antigen-binding, including hinge region (both arms)
  • Fab 1 fragment, antigen- binding, including hinge region (one arm)
  • scFv single-chain variable fragment
  • di-scFv dimeric single-chain variable fragment
  • sdAb single-domain antibody
  • IgA alpha-Heavy heavy chain
  • IgA alpha-Heavy Heavy Chain
  • AD3 Antibody (AD3)
  • the antibodies recognize, for example, tumor-specific epitopes (e.g., TAG-72 (See, e.g., Kjeidsen et al, C-ancer Res. 48:2214-2220 (1988); U.S. Pat Nos. 5,892,020; 5,892,019; and 5,512,443): human carcinoma antigen (See, e.g., U.S. Pat. Nos. 5,693,763; 5,545,530; and 5,808,005); TP1 and TPS antigens from osteocarcinoma cells (See, e.g., U.S. Pat. No.
  • TAG-72 See, e.g., Kjeidsen et al, C-ancer Res. 48:2214-2220 (1988); U.S. Pat Nos. 5,892,020; 5,892,019; and 5,512,443
  • human carcinoma antigen See, e.g., U.S. Pat. Nos. 5,693,763;
  • adenocarcinoma See, e.g., U.S. Pat. Nos. 4,708,930 and 4,743,543; a human colorectal cancer antigen (See, e.g. , U.S. Pat No. 4,92.1 ,789); CA125 antigen from cystadenocarcinoma (See, e.g., U.S. Pat. No. 4,921,790); DF3 antigen from human breast carcinoma (See, e.g., U.S. Pat. Nos. 4,963,484 and 5,053,489); a human breast tumor antigen (See, e.g., U.S. Pat No. 4,939,240); p97 antigen of human melanoma (See, e.g., U.S. Pat. No. 4,918, 164);
  • carcinoma or orosomucoid-related antigen See, e.g., U.S. Pat. No. 4,914,021); a human pulmonary carcinoma antigen that reacts with human squamous ceil lung carcinoma but not with human small ceil lung carcinoma (See, e.g., U.S. Pat. No. 4,892,935); T and Tn haptens in glycoproteins of human breast carcinoma (See, e.g., Springer et al, Carbohydr. Res. 178:271 -292 (1988)), MSA breast carcinoma glycoprotein termed (See, e.g., Tjandra et al, Br. J. Surg.
  • MFGM breast carcinoma antigen See, e.g., Ishida et al, Tumor Biol. 10: 12-22 ( 1989)); DU-PAN-2 pancreatic carcinoma antigen (See, e.g., Lan et at, Cancer Res. 45:305-310 (1985)); CA125 ovarian carcinoma antigen (See, e.g., Hanisch et al, Carbohydr. Res. 178:29-47 ( 1988)); YH206 lung carcinoma antigen (See, e.g., Hinoda et al, (1988) Cancer J. 42:653-658 (1988)).
  • polyclonal antibodies Various procedures known, in the art are used for the production of polyclonal antibodies. I 7 or the production of antibody, various host animals can be immunized by injection with the peptide corresponding to the desired epitope including but not limited to rabbits, mice, rats, sheep, goats, etc.
  • the peptide is conjugated to an immunogenic carrier (e.g., diphtheria toxoid, bovine serum albumin (BSA), or keyhole limpet hemocyanin (KLH)).
  • an immunogenic carrier e.g., diphtheria toxoid, bovine serum albumin (BSA), or keyhole limpet hemocyanin (KLH).
  • BSA bovine serum albumin
  • KLH keyhole limpet hemocyanin
  • adjuvants are used to increase the immunological response, depending on the host species, including but not limited to Freund's (complete and incomplete), mineral gels such as aluminum hydroxide, surface active substances such as lyso!ecithin, pksronic polyols, po!yanions, peptides, oil emulsions, keyhole limpet hemoeyanins, dinitroplienol, and potentially useful human adjuvants such as BCG (Bacille Calrnerte-G erin) and Corynebacterium parvum.
  • any technique that provides for the production of antibody molecules by continuous cell lines in culture may be used (See e.g., Harlow and Lane, Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.). These include, but are not limited to, the hybridoma technique originally developed by Kohler and Milstein (Kohler and Milstein, Nature 256:495-497 (1975)), as well as the trioma technique, the human B-cell hybridoma technique (See e.g., Kozbor et al. Immunol.
  • monoclonal antibodies can be produced in germ-free animals utilizing recent technology (See e.g., PCT/US90/02545).
  • human antibodies may be used and can be obtained by using human hybridomas (Cote et al., Proc. Natl. Acad. Sci. U.S.A.80:2026-2030 (1983)) or by transforming human B cells with EBV virus in viiro (Cole et al., in Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, pp. 77-96 (1985)),
  • Antibody fragments that contain the idiotype (antigen binding region) of the antibody molecule can be generated by known techniques.
  • fragments include but are not limited to: the F(ab')2 fragment that can be produced by pepsin digestion of the antibody molecule; the Fab' fragments that can be generated by reducing the disulfide bridges of the F(ab')2 fragment, and the Fab fragments that can be generated by treating the antibody molecule with papain and a reducing agent.
  • radioimmunoassay e.g., radioimmunoassay, ELISA (enzyme- linked immunosorbant assay), "sandwich” immunoassays, immunoradiometrie assays, gel diffusion precipitin reactions, immunodiffusion assays, in situ immunoassays (using colloidal gold, enzyme or radioisotope labels, for example), Western Blots, precipitation reactions, agglutination assays (e.g., gel agglutination assays, hemagglutination assays, etc.), complement fixation assays, immunofluorescence assays, protein A assays, and
  • the modular dendrimer nanoparticies having precise numbers of imaging agents are not limited to a particular manner of conjugation with an antibody.
  • the antibodies are configured to conjugate with a modular dendrimer nanoparticle having an antibody conjugation ligand.
  • the antibody is configured to conjugate with a modular dendrimer nanoparticle via a linkage with the antibody conjugation ligand.
  • the present invention is not limited to a particular configuration of the antibody which facilitates such a conjugation with modular dendrimer nanoparticle having an antibody conjugation ligand.
  • a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand is introduced to one of the two carboxyiic acid groups at the c- termini of the antibody Fc region.
  • the antibody Fc region is modified such that one or more of the e-iermini have thereon a dendrimer conjugation ligand.
  • the antibody Fc region is modified such that both of the c-termini have thereon a dendrimer conjugation ligand.
  • the antibody Fc region is modified such one or more of the carboxyiic groups at the c-termini are modified into dendrimer conjugation ligands.
  • the antibody Fc region is modified such that both of the carboxyiic groups at the c-termini are modified into dendrimer conjugation ligands.
  • the present invention is not limited to a particular type or kind of dendrimer conjugation ligand.
  • the dendrimer conjugation ligand is configured to facilitate conjugation with a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand.
  • the dendrimer conjugation ligand is configured to facilitate conjugation with a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand through use of click chemistry (e.g., a 1,3-dipolar cvcloaddition reaction).
  • click chemistry e.g., a 1,3-dipolar cvcloaddition reaction
  • Click chemistry involves, for example, the coupling of two different moieties (e.g., a therapeutic agent and a functional group) (e.g., a first functional group and a second functional group) (e.g., a dendrimer conjugation ligand and an antibody conjugation ligand) via a 1,3-dipolar cycloaddition reaction between an alkyne moiety (or equivalent thereof) on the surface of the first moeity and an azide moiety (or equivalent thereof) (or any active end group such as, for example, a primary amine end group, a hydroxyl end group, a carboxylic acid end group, a thiol end group, etc) on the second moiety.
  • moieties e.g., a therapeutic agent and a functional group
  • a functional group e.g., a first functional group and a second functional group
  • a dendrimer conjugation ligand and an antibody conjugation ligand e.g., a dend
  • Click chemistry is an attractive coupling method because, for example, it can be performed with a wide variety of solvent conditions including aqueous environments.
  • the stable triazole ring that results from coupling the alkyne with the azide is frequently achieved at quantitative yields and is considered to be biologically inert (see, e.g., Rostovtsev, V. V.; et al.,
  • antibody conjugation iigands include, but are not limited to, alkyne groups (e.g., cyclooctyne, fiuorinated cyclooctyne, alkyne), in some embodiments, the dendrimer conjugation ligand is an azide group (e.g., for purposes of facilitating a 1 ,3-dipolar cycloaddition reaction between the dendrimer conjugation ligand and the antibody conjugation ligand). As such, in some embodiments, the antibody Fc region is modified such that both of the carboxylic groups at the c-termini are modified into azide groups.
  • alkyne groups e.g., cyclooctyne, fiuorinated cyclooctyne, alkyne
  • the dendrimer conjugation ligand is an azide group (e.g., for purposes of facilitating a 1 ,3-dipolar cycloaddition reaction between the dend
  • the present invention is not limited to a having a particular number of modular dendrimer nanoparticles having precise numbers of imaging agents conjugated with an antibody.
  • one modular dendrimer nanoparticle having precise numbers of imaging agents is conjugated with an antibody.
  • two modular dendrimer nanoparticles having precise numbers of imaging agents are conjugated with an antibody.
  • one modular dendrimer nanoparticles having precise numbers of imaging agents is conjugated with an antibody at one antibody Fc region.
  • two modular dendrimer nanoparticles having precise numbers of imaging agents are conjugated with an antibody at each antibody Fc region.
  • modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation Iigands ensures that antibodies conjugated with two of such modular dendrimer nanoparticles (having conjugated imaging agents) will have between 2 and 16 imaging agents (e.g., between 1 and 8 for each modular dendrimer nanoparticle conjugated to each antibody).
  • the present invention provides methods for imaging different antigens having varying abudnace quantities in a manner wherein the detected imaging agent intensity is equated.
  • different types of antigens have differing levels of in vivo or in vitro abundance.
  • antibodies directed to the higher abundance antigen are configured to be conjugated with modular dendrimer nanoparticles having fewer imaging agents (e.g., 2 imaging agents) than modular dendrimer nanoparticles conjugated with antibodies directed to the lower abundance antigen (e.g., 16 imaging agents).
  • imaging agents e.g. 2 imaging agents
  • 16 imaging agents e.g. 16 imaging agents
  • Antibodies conjugated with modular dendrimer nanoparticies having precise numbers of imaging agents represent a significant improvement within imaging application. For example, by controlling both the number and position of imaging agents loaded to an antibody, antibodies conjugated with such modular dendrimer nanodevices achieve higher consistency and reliability than currently available reagents, and lead to more consistent and reliable results in biological experiments. Furthermore, because antibodies conjugated with such modular dendrimer nanodevices offer a range of a number of imaging agents per antibody (e.g., 2-16 imaging agents), researchers have the ability to balance the fluorescence levels of different targets in multi-dye experiments, even when very "dim" antibody targets such as CD 19 or CD26L are involved.
  • This superior loading range additionally improves sensitivity, a feature that is especially important for low abundance biomolecules.
  • the quantitative labeling of antibody reagents permits subtle but reproducible differences in target quantities to be detected, for example, for morphogen gradients.
  • the ease of use and reliability of the labeling process with modular dendrimer nanopariicles enables a significant number of researchers to consistently label primary antibodies with the dye and dye number of their choice, and to eliminate dependence on secondar '- antibodies.
  • Antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents provide additional benefits through increased efficiency in the manufacturing process, as every antibody can be labeled using the same method. For example, even if reagent manufacturers only used antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents to replace current repertoire of labeled antibodies, antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents permits the accomplishment more easily and with fewer resources, in addition, due to the modularity of the antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents with respect to both imaging agents and number of imaging agents, manufacturers have the option to easily conjugate any of a wide range of dyes - in different defined quantities - using the same universal reaction scheme.
  • the modular dendrimer nanoparticles comprise additional functional agents (e.g., targeting agents, therapeutic agents, trigger agents, and additional imaging agents).
  • additional functional agents e.g., targeting agents, therapeutic agents, trigger agents, and additional imaging agents.
  • the present invention is not limited to particular method for conjugating modular dendrimer nanoparticles with additional functional agents (see, e.g., U.S. Patent Nos. 6,471,968, 7,078,461; U.S. Patent Application Serial Nos. 09/940,243, 10/431,682,
  • PCT/US2010/051835 PCT7US2010/050893; PCT/US2010/042556, PCT/US2001/015204, PCT/US2005/030278, PCT/US2009/069257, PCT/US2009/036992, PCT/US2009/059071 , PCT/US2007/015976, and PCT/US2008/061023).
  • conjugation between a modular dendrimer nanoparticle e.g., a terminal arm of a dendrimer
  • an additional functional ligand is accomplished during a "one -pot” reaction.
  • the term “one-pot synthesis reaction” or equivalents thereof, e.g., “1 - pot", “one pot”, etc. refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants.
  • a one-pot reaction occurs wherein a hydroxy!- terminated dendrimer (e.g., HO-PAMAM dendrimer) is reacted with one or more functional ligands (e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent) in one vessel, such conjugation being facilitated by ester coupling agents (e.g., 2-ehloro- 1 -methylpyridinium iodide and 4-(diniethyiamino) pyridine) (see, e.g., U.S. Provisional Patent App. No.
  • a hydroxy!- terminated dendrimer e.g., HO-PAMAM dendrimer
  • one or more functional ligands e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent
  • ester coupling agents e.g., 2-ehloro- 1 -
  • conjugation between a modular dendrimer nanoparticle e.g., a terminal arm of a dendrimer
  • an additional functional ligand is accomplished via a 1,3- dipolar cycloaddition reaction ("click chemistry").
  • Click chemistry involves, for example, the coupling of two different moieties (e.g., a therapeutic agent and a functional group) (e.g., a first functional group and a second functional group) via a 1 ,3-dipolar cycloaddition reaction between an alkyne moiety (or equivalent thereof) on the surface of the first moeity and an azide moiety (or equivalent thereof) (or any active end group such as, for example, a primary amine end group, a hydroxyl end group, a carboxylie acid end group, a thiol end group, etc.) on the second moiety.
  • Click chemistry is an attractive coupling method because, for example, it can be performed with a wide variety of solvent conditions including aqueous environments.
  • the stable triazole ring that results from coupling the alkyne with the azide is frequently achieved at quantitative yields and is considered to be biologically inert (see, e.g., Rostovtsev, V. V.; et a!., Angewandte Chemie-Tnternational Edition 2002, 41, (14), 2596; Wu, P.; et al., Angewandte Chemie-International Edition 2004, 43, (30), 3928- 3932).
  • the additional functional group(s) is attached with the modular dendrimer nanoparticle via a linker.
  • the present invention is not limited to a particular type or kind of linker.
  • the linker comprises a spacer comprising between 1 and 8 straight or branched carbon chains.
  • the straight or branched carbon chains are unsubstituted. in some embodiments, the straight or branched carbon chains are substituted with alky Is.
  • the additional functional agent is a therapeutic agent.
  • the therapeutic agents are effective in treating autoimmune disorders and/or inflammatory disorders (e.g., arthritis).
  • autoimmune disorders and/or inflammatory disorders e.g., arthritis
  • therapeutic agenis include, but are not limited to, disease-modifying antirheumatic drags (e.g., leflunomide, methotrexate, sulfasalazine, hydroxychloroquine), biologic agents (e.g., rituximab, infliximab, etanercept, adalimumab, golimumab), nonsteroidal anti-inflammatory drags (e.g., ibuprofen, celeecoxib, ketoprofen, naproxen, piroxicam, diclofenac), analgesics (e.g., acetaminophen, tramadol),
  • disease-modifying antirheumatic drags e.g., leflunomide
  • immunomodulators e.g., anakinra, abatacept
  • glucocorticoids e.g., prednisone, methylprednisone
  • TNF-a inhibitors e.g., adalimumab, certolizumab pegol, etanercept, golimumab, infliximab
  • IL-1 inhibitors e.g., metalloprotease inhibitors.
  • the therapeutic agents include, but are not limited to, infliximab, adalimumab, etanercept, parenteral gold or oral gold.
  • the therapeutic agent is an agent configured for treating rheumatoid artiiritis.
  • agenis configured for treating rheumatoid arthritis include. but are not limited to, disease-modifying antirheumatic drugs (e.g., leflunomide,
  • methotrexate methotrexate, sulfasalazine, hydroxychloroquine
  • biologic agents e.g., rituximab, infliximab, etanercept, adalimumab, golimumab
  • nonsteroidal anti- inflammatory drags e.g., ibuprofen, celecoxib, ketoprofen, naproxen, piroxicam, diclofenac
  • analgesics e.g., acetaminophen, tramadol
  • immunomodulators e.g., anakinra, abatacept
  • glucocorticoids e.g., prednisone, meihyiprednisone.
  • the thereapeutic agent is a pain relief agent.
  • pain relief agents include, but are not limited to, analgesic drugs and respective antagonists.
  • analgesic drugs include, but are not limited to, paracetamol and Non-steroidal anti-inflammatory drags ( SAIDs), COX-2 inhibitors, opiates and morphonimimetics, and specific analgesic agents.
  • the therapeutic agent includes, but is not limited to, a chemotherapeutic agent, an anti-oncogenic agent, an anti -angiogenic agent, a tumor suppressor agent, and/or an anti- icrobial agent, although the present invention is not limited by the nature of the therapeutic agent.
  • the chemotherapeutic agent is selected from a group consisting of, but not limited to, platinum complex, verapamil, podophylitoxin, carboplatin, procarbazine, mechloroethamine, cyclophosphamide, camptothecin, ifosfamide, melphalan, chlorambucil, btsulfan, nitrosurea, adriamycin, dactinomycin, daunorubicin, doxorubicin, bleomycin, plicomycin, mitomycin, bleomycin, etoposide, tamoxifen, paclitaxel, taxol, transpiatinum, 5-fluorouracil, vincristin, vinblastin, bispbosphonate (e.g., CB3717), chemotherapeutic agents with high affinity for folic acid receptors, ALIMTA (Eli Lilly), and methotrexate.
  • platinum complex e.g
  • anti-angiogenic agents include, but not limited to, Batimastat,
  • Marimastat AG3340, Neovastat, PEX, ⁇ - 1 , -2, -3, -4, PAI- 1 , -2, uPA Ab, uPAR Ab, Amiloride , Minocycline, tetracyclines, steroids, cartilage-derived TIMP, ⁇ 3 Ab : LM609 and Vitaxin, RGD containing peptides, ⁇ 5 Ab, Endostatin, Angiostatin, aaAT, IFN-a, IFN-y , IL-12, nitric oxide synthase inhibitors, TSP-1 , TNP-470, Combretastatin A4, Thalidomide, Linomide, IFN-a , PF-4, prolactin fragment, Suramin and analogues, PPS, distamycin A analogues, FGF-2 Ab, antisense-FGF-2, Protamine, SU54 I 6, soluble Fit- 1 , dominant-negative Flk- l , VEGF
  • a dendrimer conjugate comprises one or more agents that directly cross-link nucleic acids (e.g., DNA) to facilitate DNA damage leading to, for example, synergistic, antineoplastic agents of the present invention.
  • Agents such as cisplatin, and other DNA alkylating agents may be used.
  • Cisplatin has been widely used to treat cancer, with efficacious doses used in clinical applications of 20 mg/M 2 for 5 days every three weeks for a total of three courses.
  • the dendrimers may be delivered via any suitable method, including, but not limited to, injection intravenously, subcutaneously, intratumorally, intraperitoneally, or topically (e.g., to mucosal surfaces).
  • Agents that damage DNA also include compounds that interfere with DNA replication, mitosis and chromosomal segregation.
  • chemotherapeutic compounds include adriamycin, also known as doxorubicin, etoposide, verapamil, podophyllotoxin, and the like. Widely used in a clinical setting for the treatment of neoplasms, these compounds are administered through bolus injections intravenously at doses ranging from 25-75 Mg/M 2 at 21 day intervals for adriamycin, to 35-50 Mg M 2 for etoposide intravenously or double the intravenous dose orally.
  • nucleic acid precursors and subunits also lead to DNA damage and find use as chemotherapeutic agents in the present invention.
  • a number of nucleic acid precursors have been developed. Particularly useful are agents that have undergone extensive testing and are readily available. As such, agents such as 5- fluorouracil (5-FU) are preferentially used by neoplastic tissue, making this agent particularly useful for targeting to neoplastic cells.
  • the doses delivered may range from 3 to 15 mg/kg/day, although other doses may vary considerably according to various factors including stage of disease, amenability of the ceils to ihe therapy , amouni of resistance to ihe agents and the like.
  • Photodynamic therapeutic agents may also be used as therapeutic agents in the present invention.
  • the dendrimer conjugates of the present invention containing photodynamic compounds are illuminated, resulting in the production of singlet oxygen and free radicals that diffuse out of the fiberless radiative effector to act on the biological target (e.g., tumor cells or bacterial cells).
  • photodynamic compounds useful in the present invention include those that cause cytotoxity by a different mechanism than singlet oxygen production (e.g., copper benzochlorin, Selman, et al., Photochem. PhotobioL, 57:681 -85 (1993).
  • photodynamic compounds that find use in the present invention include, but are not limited io Photofrin 2, phtalocyanins (See e.g., Brasseur et al., Photochem. PhotobioL, 47:705- 1 1 (1988)), benzoporphyrin, tetrahydroxyphenylporphyrins, naphtalocyanines (See e.g., Firey and Rodgers, Photochem.
  • sapphyrins See, e.g., Sessler et al., Proc. SPIE, 1426:318-29 (1991)
  • porphinones See, e.g., Chang et
  • the therapeutic complexes of the present invention comprise a photodynamic compound and a targeting agent that is administred to a patient.
  • the targeting agent is then allowed a period of time to bind the "target" cell (e.g. about 1 minute to 24 hours) resulting in the formation of a target cell-target agent complex.
  • the therapeutic complexes comprising the targeting agent and photodynamic compound are then illuminated (e.g., with a red laser, incandescent lamp, X-rays, or filtered sunlight).
  • the light is aimed at the jugular vein or some other superficial blood or lymphatic vessel.
  • the singlet oxygen and free radicals diffuse from the photodynamic compound to the target cell (e.g. cancer cell or pathogen) causing its destruction.
  • the therapeutic agent is conjugated to a trigger agent.
  • the present invention is not limited to particular types or kinds of trigger agents.
  • sustained release e.g., slow release over a period of 24-48 hours
  • sustained release e.g., slow release over a period of 24-48 hours
  • the therapeutic agent e.g., directly
  • a trigger agent that slowly degrades in a biological system
  • consti utively active release of the therapeutic agent is accomplished through conjugating the therapeutic agent to a trigger agent that renders the therapeutic agent constitutively active in a biological system (e.g., amide linkage, ether linkage).
  • release of the therapeutic agent under specific conditions is accomplished through conjugating the therapeutic agent (e.g., directly) (e.g., indirectly through one or more additional functional groups) to a trigger agent that degrades under such specific conditions (e.g., through activation of a trigger molecule under specific conditions that leads to release of the therapeutic agent).
  • a conjugate e.g., a therapeutic agent conjugated with a trigger agent and a targeting agent
  • a target site in a subject e.g., a tumor, or a site of inflammation
  • components in the target site e.g., a tumor associated factor, or an inflammatory or pain associated factor
  • the trigger agent is configured to degrade (e.g., release the therapeutic agent) upon exposure to a tumor-associated factor (e.g., hypoxia and pH, an enzyme (e.g., glucuronidase and/or plasmin), a cathepsin, a matrix metalioproteinase, a hormone receptor (e.g., mtegrin receptor, hyaluronic acid receptor, luteinizing hormone-releasing hormone receptor, etc.), cancer and/or tumor specific DMA sequence), an inflammatory associated factor (e.g., chemokme, cytokine, etc.) or other moiety.
  • a tumor-associated factor e.g., hypoxia and pH, an enzyme (e.g., glucuronidase and/or plasmin), a cathepsin, a matrix metalioproteinase, a hormone receptor (e.g., mtegrin receptor, hyaluronic acid receptor, luteinizing hormone-releasing hormone receptor, etc.
  • the present invention provides a therapeutic agent conjugated with a trigger agent that is sensitive to (e.g., is cleaved by) hypoxia (e.g., indolequinone).
  • hypoxia e.g., indolequinone
  • Hypoxia is a feature of several disease states, including cancer, inflammation and rheumatoid arthritis, as well as an indicator of respiratory depression (e.g., resulting from analgesic drugs).
  • the trigger agent is utilizes a quinone, N- oxide and/or (hetero)aromatic nitro groups.
  • a quinone present in a conjugate is reduced to phenol under hypoxia conditions, with spontaneous formation of lactone that serves as a driving force for drug release.
  • a quinone present in a conjugate is reduced to phenol under hypoxia conditions, with spontaneous formation of lactone that serves as a driving force for drug release.
  • a quinone present in a conjugate is reduced to phenol under hypoxia conditions, with spontaneous formation of lactone that serves as a driving force for drug release.
  • a quinone present in a conjugate is reduced to phenol under hypoxia conditions, with spontaneous formation of lactone that serves as a driving force for drug release.
  • heteroaromatic nitro compound present in a conjugate e.g., a therapeutic agent conjugated (e.g., directly or indirectly) with a trigger agent
  • a conjugate e.g., a therapeutic agent conjugated (e.g., directly or indirectly) with a trigger agent
  • the trigger agent degrades upon detection of reduced 02 concentrations (e.g., through use of a redox linker).
  • hypoxia-activated trigger agents include, but are not limited to, indolequinones, nitroimidazoles, and mtroheterocycles (see, e.g., competitors, E.W.P., et al., Bioorganic & Medicinal Chemistry, 2002. 10(1): p. 71-77; Hay, M.P., et al., Journal of
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a tumor-associated enzyme.
  • the trigger agent that is sensitive to (e.g., is cleaved by) and/or associates with a glucuronidase is sensitive to (e.g., is cleaved by) and/or associates with a glucuronidase.
  • Glucuronic acid can be attached to several anticancer drugs via various linkers.
  • anticancer drugs include, but are not limited to, doxorubicin, paciitaxel, docetaxei, 5- fluorouracil, 9-aminocamtothecin, as well as other drags under development.
  • prodrugs are generally stable at physiological pH and are significantly less toxic than the parent drugs.
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with brain enzymes.
  • trigger agents such as indolequinone are reduced by brain enzymes such as, for example, diaphorase (DT-diaphorase) (see, e.g., Danny, E.W.P., et al, Bioorganic & Medicinal Chemistry, 2002. 10( 1): p. 71-77)
  • the antagonist is only active when released during hypoxia to prevent respiratory failure.
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a protease.
  • the present invention is not limited to any particular protease.
  • the protease is a cathepsin.
  • a trigger comprises a Lys-Phe-PABC moiety (e.g., that acts as a trigger).
  • a Lys-Phe-PABC moiety linked to doxorubicin, mitomycin C, and paclitaxel are utilized as a trigger- therapeutic conjugate in a conjugated dendrimer provided herein (e.g., that serve as substrates for lysosomal cathepsin B or other proteases expressed (e.g., overexpressed) in tumor cells).
  • a conjugated dendrimer provided herein (e.g., that serve as substrates for lysosomal cathepsin B or other proteases expressed (e.g., overexpressed) in tumor cells).
  • utilization of a 1 ,6-elimination spacer/linker is utilized (e.g., to permit release of therapeutic drag post activation of trigger).
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with plasmin.
  • the serine protease plasmin is over expressed in many human tumor tissues.
  • Tripeptide specifiers e.g., including, but not limited to, Val-Leu-Lys have been identified and iinlied to anticancer dntgs through elimination or cyclization linkers.
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a matrix metailoprotease (MMP).
  • MMP matrix metailoprotease
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or that associates with ⁇ -Lactamase (e.g., a ⁇ -Lactamase activated cephalosporin-based pro-drug).
  • the trigger agent is sensitive to (e.g., is cleaved by) and/or activated by a receptor (e.g., expressed on a target ceil (e.g., a tumor cell)).
  • a receptor e.g., expressed on a target ceil (e.g., a tumor cell)
  • the trigger agent that is sensitive to e.g., is cleaved by
  • a nucleic acid e.g., Nucleic acid triggered catalytic drug release
  • disease specific nucleic acid sequence is utilized as a drug releasing enzyme-like catalyst (e.g., via complex formation with a complimentary catalyst-bearing nucleic acid and/or analog).
  • the release of a therapeutic agent is facilitated by the therapeutic component being attached to a labile protecting group, such as, for example, eispiaiin or methotrexate being attached to a photolabile protecting group that becomes released by laser light directed at cells emitting a color of fluorescence (e.g., in addition to and/or in place of target activated activation of a trigger component of a conjugated dendrimer of the present invention.
  • a labile protecting group such as, for example, eispiaiin or methotrexate being attached to a photolabile protecting group that becomes released by laser light directed at cells emitting a color of fluorescence (e.g., in addition to and/or in place of target activated activation of a trigger component of a conjugated dendrimer of the present invention.
  • the therapeutic device also may have a component to monitor the response of the tumor to therapy.
  • a therapeutic agent of the dendrimer induces apoptosis of a target cell (e.g., a cancer cell (e.g., a prostate cancer cell)
  • the caspase activity of the cells may be used to activate a green fluorescence. This allows apoptotic cells to turn orange, (combination of red and green) while residual cells remain red. Any normal cells that are induced to undergo apoptosis in collateral damage fluoresce green,
  • the modular dendrimer nanoparticles further comprise a targeting agent.
  • a targeting agent for example, in some embodiments, a number of different expressed cell surface receptors find use as targets for the binding and uptake of a dendrimer conjugate.
  • receptors include, but are not limited to, EGF receptor, folate receptor, FGR receptor 2, and the like.
  • FA has a high affinity for the folate receptor which is overexpressed in many epithelial cancer cells, including breast, ovary, endometrium, kidney, lung, head and neck, brain, and myeloid cancers (Weitman et al. ( 1992) Cancer Res. 52:6708-671 i ; Campbell et al. (1991) Cancer Res. 51 :5329-5338; Weitman et al. ( 1992) Cancer Res. 73:2432-2443; Ross et al. (1994) Cancer 73:2432.-2443), and is internalized into cells after ligand binding (Antony et al. (1985) J. Biol. Chem. 260:491 1-4917). Tumor-selective targeting has been achieved by FA-conjugated liposomes encapsulting an antineoplastic drug (Lee et al. ( 1995)
  • changes in gene expression associated with chromosomal abborations are the signature component.
  • Burkitt lymphoma results from chromosome translocations that involve the Myc gene.
  • a chromosome translocation means that a chromosome is broken, which allows it to associate with parts of other chromosomes.
  • the classic chromosome translocation in Burkitt lymophoma involves chromosome 8, the site of the Myc gene. This changes the pattern of Myc expression, thereby disrupting its usual function in controlling cell growth and proliferation.
  • gene expression associated with colon cancer are identified as the signature component.
  • Two key genes are known to be involved in colon cancer: MSH2 on chromosome 2 and MLHl on chromosome 3. Normally, the protein products of these genes help to repair mistakes made in DNA replication. If the MSH2 and MLHl proteins are mutated, the mistakes in replication remain unrepaired, leading to damaged DNA and colon cancer.
  • MEN1 gene involved in multiple endocrine neoplasia, as been known for several years to be found on chromosome 1 1 , was more finely mapped in 1997, and serves as a signature for such cancers.
  • an antibody specific for the altered protein or for the expressed gene to be detected is complexed with nanodevices of the present invention.
  • adenocarcinoma of the colon has defined expression of CEA and mutated p53, both well-documented tumor signatures.
  • the mutations of p53 in some of these cell lines are similar to that observed in some of the breast cancer cells and allows for the sharing of a p53 sensing component between the two nanodevices for each of these cancers (i.e., in assembling (he nanodevice, dendrimers comprising the same signature identifying agent may be used for each cancer type).
  • Both colon and breast cancer cells may be reliably studied using cell lines to produce tumors in nude mice, allowing for optimization and characterization in animals.
  • tumor suppressors that find use as signatures in the present invention include, but are not limited to, p53, Mud, CEA, i 6, p21 , p27, CCAM, RB, APC, DCC, NF-1 , NF-2, WT-i, MEN- 1 , MEN- II, p73, VHL, FCC and MCC.
  • targeting agents are conjugated to the therapeutic agents for delivery of the dendrimer to desired body regions (e.g., to the central nervous system (CNS); to a tissue region associated with an inflammatory disorder and'Or an autoimmune disorder (e.g., arthritis)).
  • desired body regions e.g., to the central nervous system (CNS); to a tissue region associated with an inflammatory disorder and'Or an autoimmune disorder (e.g., arthritis)
  • the targeting agents are not limited to targeting specific body regions.
  • the targeting agent is a moiety that has affinity for a tumor associated factor.
  • a number of targeting agents are contemplated to be useful in the present invention including, but not limited to, ROD sequences, low-density lipoprotein sequences, a NAALADase inhibitor, epidermal growth factor, and other agents that bind with specificity to a target cell (e.g., a cancer cell)).
  • conjugated dendrimers of the present invention can be targeted (e.g., via a linker conjugated to the dendrimer wherein the linker comprises a targeting agent) to a variety of target cells or tissues (e.g., to a biologically relevant environment) via conjugation to an appropriate targeting agent.
  • the targeting agent is a moiety that has affinity for an inflammatory factor (e.g., a cytokine or a cytokine receptor moiety (e.g., TNF- a receptor)).
  • the targeting agent is a sugar, peptide, antibody or antibody fragment, hormone, hormone receptor, or the like.
  • the targeting agent includes but is not limited to an antibody, receptor ligand, hormone, vitamin, and antigen; however, the present invention is not limited by the nature of the targeting agent.
  • the antibody is specific for a disease- specific antigen.
  • the disease-specific antigen comprises a tumor-specific antigen.
  • the receptor ligand includes, but is not limited to, a ligand for CFTR, EGFR, estrogen receptor, FGR2, folate receptor, IL-2 receptor, glycoprotein, and VEGFR.
  • the receptor ligand is folic acid.
  • targeting groups are conjugated to dendrimers and/or linkers conjugated to the dendrimers with either short (e.g., direct coupling), medium (e.g. using small-molecule bifunctional linkers such as SPDP, sold by PIERCE CHEMICAL Company), or long (e.g., PEG bifunctional linkers, sold by EKTA.R, Inc.) linkages. Since dendrimers have surfaces with a large number of functional groups, more than one targeting group and/or linker may be attached to each dendrimer. As a result, multiple binding events may occur between the dendrimer conjugate and the target ceil.
  • short e.g., direct coupling
  • medium e.g. using small-molecule bifunctional linkers such as SPDP, sold by PIERCE CHEMICAL Company
  • long e.g., PEG bifunctional linkers, sold by EKTA.R, Inc.
  • the dendrimer conjugates have a very high affinity for their target ceils via this "cooperative binding" or polyvalent interaction effect.
  • at least two different ligand types are attached to the dendiimer, with or without linkers.
  • the two different iigands are attached to the dendrimer through ester bonds.
  • hFR high-affinity folate receptor
  • the hFR receptor is expressed or upregulated on epithelial tumors, including breast cancers. Control cells lacking hFR showed no significant accumulation of folate-derivatized dendrimers.
  • Folic acid can be attached to full generation PAMAM dendrimers via a carbodiimide coupling reaction. Folic acid is a good targeting candidate for the dendrimers, with its small size and a simple conjugation procedure.
  • the targeting agents target the central nervous system (CNS).
  • the targeting agent is transferrin (see, e.g., Daniels, T.R., et ai, Clinical Immunology, 2006. 121(2): p. 159-176; Daniels, T.R., et ai., Clinical Immunology, 2006. 121(2): p. 144-158).
  • Transferrin has been utilized as a targeting vector to transport, for example, drugs, liposomes and proteins across the blood-brain barrier (BBB) by receptor mediated transeytosis (see, e.g., Smith, M.W. and M. Gumbleton, Journal of Drug Targeting, 2.006.
  • the targeting agents target neurons within the central nervous system (CNS).
  • the targeting agent is a synthetic tetanus toxin fragment (e.g., a 12 amino acid peptide (Tet 1)
  • HLNILSTLWKYR (SEQ ID NO: 2) (see, e.g., Liu, J.K., et ai, Neurobiology of Disease, 2005. 19(3): p. 407-418).
  • additional imaging is based on the passive or active observation of local differences in density of selected physical properties of the investigated complex matter. These differences may be due to a different shape (e.g., mass density detected by atomic force microscopy), altered composition (e.g. radiopaques detected by X-ray), distinct light emission (e.g., fluorochromes detected by
  • spectrophotometry different diffraction (e.g., electron-beam detected by ⁇ ), contrasted absorption (e.g., light detected by optical methods), or special radiation emission (e.g., isotope methods), etc.
  • quality and sensitiv ity of imaging depend on the property observed and on the technique used.
  • the imaging techniques for cancerous cells have to provide sufficient levels of sensitivity to allow observation of small, focal concentrations of selected cells. The earliest identification of cancer signatures requires high selectivity (i.e., highly specific recognition provided by appropriate targeting) and the highest possible sensitivity.
  • Dendrimers have already been employed as biomedical imaging agents, perhaps most notably for magnetic resonance imaging (MR! contrast enhancement agents (See e.g., Wiener et al., Mag. Reson. Med. 31 : 1 (1994); an example using PAMAM dendrimers). These agents are typically constructed by conjugating chelated paramagnetic ions, such as Gd(IiI)-diethylenetriammepeniaacetic acid (Gd(III)-DTPA), to water-soluble dendrimers.
  • MR magnetic resonance imaging
  • a dendrimer conjugate is also conjugated to a targeting group, such as epidermal growth factor (EOF), to make the conjugate specifically bind to the desired cell type (e.g., in the case of EGF, EGFR- expressing tumor cells).
  • EEF epidermal growth factor
  • DTPA is attached to dendrimers via the isothiocyanate of DTPA as described by Wiener (Wiener et a!., Mag. Reson. Med. 31 : 1 ( 1994)).
  • Dendrimeric MRI agents are particularly effective due to the polyvalency, size and architecture of dendrimers, which results in molecules with large proton relaxation enhancements, high molecular relaxivity, and a high effective concentration of paramagnetic ions at the target site.
  • Dendrimeric gadolinium contrast agents have even been used to differentiate between benign and malignant breast tumors using dynamic MRJ, based on how the vasculature for the latter type of tumor images more densely (Adam et al., Ivest. Rad. 31 :26 ( 1996)).
  • MRI provides a particularly useful imaging system of the present invention.
  • modular dendrimer nanoparticles of the present invention allow functional microscopic imaging of tumors and provide improved methods for imaging. The methods find use in vivo, in vitro, and ex vivo.
  • modular dendrimer nanoparticles of the present invention are designed to emit light or other detectable signals upon exposure to light.
  • the labeled modular dendrimer nanoparticles may be physically smaller than the optical resolution limit of the microscopy technique, they become self-luminous objects when excited and are readily observable and measurable using optical techniques.
  • sensing fluorescent biosensors in a microscope involves the use of tunable excitation and emission filters and multiwavelength sources (See, e.g., Farkas et al., SPEI 2678:200 (1997)).
  • the imaging agents are present in deeper tissue, longer wavelengths in the Near-infrared (NMR) are used (See e.g., Lester et al., Cell MoJ. Biol. 44:29 (1998)), Dendrimeric b osensing in the Near-IR has been demonstrated with dendrimeric biosensing antenna-like architectures (See, e.g., Shortreed et al., J. Phys. Chem., 101 :6318 (1997)).
  • Biosensors that find use with the present invention include, but are not limited to, fluorescent dyes and molecular beacons.
  • in vivo imaging is accomplished using functional imaging techniques.
  • Functional imaging is a complementary and potentially more powerful technique as compared to static structural imaging. Functional imaging is best known for its application at the macroscopic scale, with examples including functional Magnetic Resonance Imaging (fMRl) and Positron Emission Tomography (PET).
  • functional microscopic imaging may also be conducted and find use in in vivo and ex vivo analysis of living tissue.
  • Functional microscopic imaging is an efficient combination of 3-D imaging, 3-D spatial multispectral volumetric assignment, and temporal sampling: in short a type of 3-D spectral microscopic movie loop. Interestingly, cells and tissues autofluoresce. When excited by several wavelengths, providing much of the basic 3-D structure needed to characterize several cellular components (e.g., the nucleus) without specific labeling.
  • Oblique light illumination is also useful to collect structural information and is used routinely.
  • functional spectral microimaging may be used with biosensors, which act to localize physiologic signals within the cell or tissue.
  • biosensor- comprising dendrimers of the present invention are used to image upregulated receptor families such as the folate or EGF classes.
  • functional biosensing therefore involves the detection of physiological abnormalities relevant to carcinogenesis or malignancy, even at early stages.
  • a number of physiological conditions may be imaged using the compositions and methods of the present invention including, but not limited to, detection of nanoscopic dendrimeric biosensors for pH, oxygen concentration, Ca i concentration, and other physiologically relevant analytes.
  • the present invention provides modular dendrimer nanoparticles having a biological monitormg component.
  • the biological monitoring or sensing component of a dendrimer is one that can monitor the particular response in a target cell (e.g., tumor cell) induced by an agent (e.g., a therapeutic agent provided by a conjugated dendrimer). While the present invention is not limited to any particular monitormg system, the invention is illustrated by methods and compositions for monitoring cancer treatments.
  • the agent induces apoptosis in cells and monitoring involves the detection of apoptosis.
  • the monitormg component is an agent that fluoresces at a particular wavelength when apoptosis occurs.
  • caspase activity activates green fluorescence in the monitoring component.
  • Apoptotic cancer cells which have turned red as a result of being targeted by a particular signature with a red label, turn orange while residual cancer cells remain red. Normal cells induced to undergo apoptosis (e.g., through collateral damage), if present, will fluoresce green.
  • fluorescent groups such as fluorescein are employed in the imaging agent. Fluorescein is easily atiached to the dendrimer surface via the isoihiocvanate derivatives, available from MOLECULAR PROBES, Inc. This allows the modular dendrimer nanoparticle to be imaged with the cells via confocal microscopy.
  • Sensing of the effectiveness of modular dendrimer nanoparticle or components thereof is preferably achieved by using fluorogenic peptide enzyme substrates.
  • apopiosis caused by the therapeutic agent results in the production of the peptidase caspase-1 (ICE).
  • CALBIOCHEM sells a number of peptide substrates for this enzyme that release a fluorescent moiety .
  • a particularly useful peptide for use in the present invention is:
  • MCA-Tyr-Glu-Va ⁇ -Asp-Gly-Trp-Lys-(DNP)-NH 2 (SEQ ID NO: 1 ) where MCA is the (7- methoxycoumarin-4-y3)acetyl and DNP is the 2,4-dinitrophenyl group (See, e.g., Talanian et al., J. Biol Chem., 272: 9677 ( 1997)). In this peptide, the MCA group has greatly attenuated fluorescence, due to fluorogenic resonance energy transfer (FRET) to the DNP group.
  • FRET fluorogenic resonance energy transfer
  • the enzyme When the enzyme cleaves the peptide between the aspartic acid and glycine residues, the MCA and DNP are separated, and the MCA group strongly fluoresces green (excitation maximum at 325 nm and emission maximum at 392 nm).
  • the lysine end of the peptide is linked to pro-drug complex, so that the MC A group is released into the cytoso! when it is cleaved.
  • the lysine end of the peptide is a useful synthetic handle for conjugation because, for example, it can react with the activated ester group of a Afunctional linker such as Mal-PEG-OSu.
  • Additional fluorescent dyes that find use with the present invention include, but are not limited to, acridine orange, reported as sensitive to DNA changes in apoptotic cells (see, e.g., Abrams et al, Development 1 17:29 (1993)) and ds-parinaric acid, sensitive to the lipid peroxidation that accompanies apopiosis (see, e.g., Hockenbery ei al, Cell 75:241 (1993)).
  • the peptide and the fluorescent dyes are merely exemplary. It is contemplated that any peptide that effectively acts as a substrate for a caspase produced as a result of apoptosis finds use with the present invention.
  • the lysine end of the peptide is linked to the modular dendrimer nanoparticle, so that the MCA group is released into the cytosol when it is cleaved.
  • the lysine end of the peptide is a useful synthetic handle for conjugation because, for example, it can react with the activated ester group of a bifunctional linker such as Mal-PEG-OSu.
  • a bifunctional linker such as Mal-PEG-OSu.
  • acridine orange reported as sensitive to DNA changes in apoptotic cells
  • eis-parinarie acid sensitive to the lipid peroxidation that accompanies apoptosis
  • the peptide and the fluorescent dyes are merely exemplary. It is contemplated that any peptide that effectively acts as a substrate for a caspase produced as a result of apoptosis finds use with the present invention.
  • the dendrimer conjugate compositions are able to specifically target a particular ceil type (e.g., tumor cell).
  • the dendrimer conjugate targets neoplastic cells through a cell surface moiety and is taken into the ceil through receptor mediated endocytosis.
  • the antibody // modular dendrimer nanoparticles are prepared as part of a pharmaceutical composition in a form appropriate for the intended application. Generally, this entails preparing compositions that are essentially free of pyrogens, as well as other impurities that could be harmful to humans or animals.
  • a straight antibody // modular dendrimer nanoparticles formulation may be administered using one or more of the routes described herein.
  • the antibody // modular dendrimer nanoparticles are used in conjunction with appropriate salts and buffers to render delivery of the compositions in a stable manner to allow for uptake by target cells.
  • Buffers also are employed when the dendrimer conjugates are introduced into a patient.
  • Aqueous compositions comprise an effecti v e amount of the dendrimer conj ugat es to cells dispersed in a pharmaceutically acceptable carrier or aqueous medium. Such compositions also are referred to as inocula.
  • pharmaceutically or pharmacologically acceptable refer to molecular entities and compositions that do not produce adverse, allergic, or other untoward reactions when administered to an animal or a human.
  • pharmaceutically acceptable carrier includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. Except insofar as any conventional media or agent is incompatible with the vectors or cells of the present invention, its use in therapeutic compositions is contemplated. Supplementary active ingredients may also be incorporated into the compositions.
  • the active compositions include classic pharmaceutical preparations. Administration of these compositions according to the present invention is via any common route so long as the target tissue is available via that route. This includes oral, nasal, buccal, rectal, vaginal or topical. Alternatively, administration may be by orthotopic, intradermal, subcutaneous, intramuscular, intraperitoneal or intravenous injection.
  • the active antibody // modular dendrimer nanoparticles may also be administered parenterally or intraperitoneally or intratum orally.
  • Solutions of the ac tive compounds as free base or pharmacologically acceptable salts are prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose.
  • Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
  • a therapeutic agent is released from a antibody // modular dendrimer nanoparticle within a target cell (e.g., within an endosome).
  • This type of intracellular release e.g., endosomal disruption of a linker-therapeutic conjugate
  • the antibody // modular dendrimer nanoparticles of the present invention contain between 100-150 primary amines on the surface.
  • the present invention provides dendrimers with multiple (e.g., 100-150) reactive sites for the conjugation of linkers and/or functional groups comprising, but not limited to, therapeutic agents, targeting agents, imaging agents and biological monitoring agents.
  • compositions and methods of the present invention are contemplated to be equally effective whether or not the dendrimer conjugates of the present invention comprise a fluorescein (e.g. FITC) imaging agent.
  • FITC fluorescein
  • each functional group present in a dendrimer composition is able to work independently of the other functional groups.
  • the present invention provides dendrimer conjugates that can comprise multiple combinations of targeting, therapeutic, imaging, and biological monitoring functional groups.
  • the present invention also provides a very effective and specific method of delivering molecules (e.g., therapeutic and imaging functional groups) to the interior of target cells (e.g., cancer ceils).
  • target cells e.g., cancer ceils.
  • the present invention provides methods of therapy that comprise or require delivery of molecules into a cell in order to function (e.g., delivery of genetic material such as siRNAs).
  • the pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions.
  • the carrier may be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils.
  • the proper fluidity can be maintained, for example, by the use of a coating, such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants.
  • the prevention of the action of microorganisms can be brought about by various antibacterial an antifungal agents, for example, parabens, chforobutanol, phenol, sorbic acid, thimerosal, and the like.
  • isotonic agents for example, sugars or sodium chloride.
  • Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.
  • Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization.
  • dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above.
  • the preferred methods of preparation are vacuum-drying and freeze-drying techniques which yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
  • antibody // modular dendrimer nanoparticles are administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective.
  • the formulations are easily administered in a variety of dosage forms such as injectable solutions, drug release capsules and the like.
  • parenteral administration in an aqueous solution for example, the solution is suitably buffered, if necessary, and the liquid diluent first rendered isotonic with sufficient saline or glucose.
  • aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration.
  • one dosage could be dissolved in 1 ml of isotonic NaCl solution and either added to 1000 ml of hypodermoclysis fluid or injected at the proposed site of infusion, (see for example, "Remington's Pharmaceutical Sciences” 15th Edition, pages 1035- 1038 and 1570-1580).
  • the active particles or agents are formulated within a therapeutic mixture to comprise about 0,0001 to 1.0 milligrams, or about 0.001 to 0.1 milligrams, or about 0.1 to 1.0 or even about 10 milligrams per dose or so. Multiple doses may be administered.
  • vaginal suppositories and pessaries.
  • a rectal pessary or suppository may also be used.
  • Suppositories are solid dosage forms of various weights and shapes, usually medicated, for insertion into the rectum, vagina or the urethra. After insertion, suppositories soften, melt or dissolve in the cavity fluids.
  • traditional binders and carriers may include, for example, polyalkylene glycols or triglycerides; such suppositories may be formed from mixtures containing the active ingredient in the range of 0.5% to 10%, preferably I%- 2%.
  • Vaginal suppositories or pessaries are usually globular or oviform and weighing about 5 g each.
  • Vaginal medications are av ailable in a variety of physical forms, e.g., creams, gels or liquids, which depart from the classical concept of suppositories.
  • suppositories may be used in connection with colon cancer.
  • the dendrimer conjugates also may be formulated as inhalants for the treatment of lung cancer and such like.
  • components of antibody / ' /' modular dendrimer nanoparticles of the present invention provide therapeutic benefits to patients suffering from medical conditions and/or diseases (e.g., cancer, inflammatory disease, chronic pain, autoimmune disease, etc.).
  • diseases e.g., cancer, inflammatory disease, chronic pain, autoimmune disease, etc.
  • inflammatory diseases e.g., antibody // modular dendrimer nanoparticles conjugated with therapeutic agents configured for treating inflammatory diseases.
  • Inflammatory diseases include but are not limited to arthritis, rheumatoid arthritis, psoriatic arthritis, osteoarthritis, degenerative arthritis, polymyalgia rheumatic, ankylosing spondylitis, reactive arthritis, gout, pseudogout, inflammatory joint disease, systemic lupus erythematosus, polymyositis, and fibromy algia.
  • arthritis include achiiles tendinitis, achondroplasia, acromegalic arthropathy, adhesive capsulitis, adult onset Still's disease, anserine bursitis, avascular necrosis, Behcet's syndrome, bicipital tendinitis, Blount's disease, brucellar spondylitis, bursitis, calcaneal bursitis, calcium pyrophosphate dihydrate deposition disease (CPPD), crystal deposition disease, Caplan's syndrome, carpal tunnel syndrome, chondrocalcinosis, chondromalacia patellae, chronic synovitis, chronic recurrent multifocal osteomyelitis, Churg-Strauss syndrome, Cogan's syndrome, corticosteroid- induced osteoporosis, costosternal syndrome, CREST syndrome, cryoglobulinemia, degenerative joint disease, dermatomyositis, diabetic finger sclerosis, diffuse idiopathic skeletal hyperost
  • lipogranuiomatosis Feity's syndrome.
  • scleroderma lipoid dermatoarthritis, Lofgren's syndrome, Lyme disease, malignant synovioma, Marian's syndrome, medial plica syndrome, metastatic carcinomatous arthritis, mixed connective tissue disease (MCTD), mixed cryoglobulinemia, mucopolysaccharidosis, multicentric reticulohistiocytosis, multiple epiphyseal dysplasia, mycoplasmal arthritis, myofascial pain syndrome, neonatal lupus, neuropathic arthropathy, nodular panniculitis, ochronosis, olecranon bursitis, Osgood- Schlatter's disease, osteoarthritis,
  • osteochondromatosis osteogenesis imperfecta, osteomalacia, osteomyelitis, osteonecrosis, osteoporosis, overlap syndrome, pachydermoperiostosis Paget's disease of bone, palindromic rheumatism, patellofemoral pain syndrome, Pellegrini-Stieda syndrome, pigmented viilonoduiar synovitis, piriformis syndrome, plantar fasciitis, polyarteritis nodos, Polymyalgia rheumatic, polymyositis, popliteal cysts, posterior tibial tendinitis, Pott's disease, prepatellar bursitis, prosthetic joint infection, pseudoxanthoma elasticum, psoriatic arthritis, Raynaud's phenomenon, reactive arihritis/Reiter's syndrome, reflex sympathetic dystrophy syndrome, relapsing polychondritis, retrocaicaneal bursitis, rheumatic fever, rhe
  • antibody // modular dendrimer nanoparticles of the present invention configured for treating autoiniinune disorders and'Or inflammatory disorders (e.g., rheumatoid arthritis) are co- dministered to a subject (e.g., a human suffering from an autoimmune disorder and'Or an inflammatory disorder) a therapeutic agent configured for treating autoimmune disorders and'Or inflammatory disorders (e.g., rheumatoid arthritis).
  • a subject e.g., a human suffering from an autoimmune disorder and'Or an inflammatory disorder
  • a therapeutic agent configured for treating autoimmune disorders and'Or inflammatory disorders (e.g., rheumatoid arthritis).
  • agents include, but are not limited to, disease-modify ing antirheumatic drags (e.g., leflunomide, methotrexate, sulfasalazine, hydroxychloroquine), biologic agents (e.g., rituximab, infliximab, etanercept, adalimumab, goiimumab), nonsteroidal antiinflammatory drugs (e.g., ibuprofen, celeeoxib, ketoprofen, naproxen, piroxicam, diclofenac), analgesics (e.g., acetaminophen, tramadol), immunomodulators (e.g., anakinra, abataeept), and glucocorticoids (e.g., prednisone, methylpred isone).
  • disease-modify ing antirheumatic drags e.g., leflunomide, methotrexate, s
  • the medical condition and'Or disease is pain (e.g., chronic pain, mild pain, recurring pain, severe pain, etc.).
  • the conjugated dendrimers of the present invention are configured to deliver pain relief agents to a subject, in some embodiments, the dendrimer conjugates are configured to deliver pain relief agents and pain relief agent antagonists to counter the side effects of pain relief agents.
  • the dendrimer conjugates are not limited to treating a particular type of pain and'Or pain resulting from a disease. Examples include, but are not limited to, pain resulting from trauma (e.g., trauma experienced on a battlefield, trauma experienced in an accident (e.g., car accident)).
  • the dendrimer conjugates of the present invention are configured such that they are readily cleared from the subject (e.g., so that there is little to no detectable toxicit '- at efficacious doses).
  • the disease is cancer.
  • the present invention is not limited by the type of cancer treated using the compositions and methods of the present invention.
  • a variety of cancer can be treated including, but not limited to, prostate cancer, colon cancer, breast cancer, lung cancer and epithelial cancer.
  • the present invention is not limited by the type of inflammatory disease and/or chronic pain treated using the compositions of the present invention.
  • a variety of diseases can be treated including, but not limited to, arthritis (e.g., osteoarthritis, rheumatoid arthritis, etc.), inflammator '' bowel disease (e.g., colitis, Crohn's disease, etc.), autoimmune disease (e.g., lupus erythematosus, multiple sclerosis, etc.), inflammatory pelvic disease, etc.
  • the disease is a neoplastic disease, selected from, but not limited to, leukemia, acute leukemia, acute lymphocytic leukemia, acute myelocytic leukemia, myeioblastie, promyelocytic, myelomonocytic, monocytic, eiythroleukemia, chronic leukemia, chronic myelocytic, (granulocytic) leukemia, chronic lymphocytic leukemia, Polycythemia vera, lymphoma, Hodgkin's disease, non-Hodgkin's disease, Multiple myeloma, Waldenstrom's macroglobulinemia, Heavy chain disease, solid tumors, sarcomas and carcinomas, fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymph
  • lymphangioendotheliosarcoma synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal carcinoma, Wilms' tumor, cervical cancer, uterine cancer, testicular tumor, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pine
  • the disease is an inflammatory disease selected from the group consisting of, but not limited to, eczema, inflammatory bowel disease, rheumatoid arthritis, asthma, psoriasis, ischemia/reperfusion injury, ulcerative colitis and acute respiratory distress syndrome.
  • the disease is a viral disease selected from the group consisting of, but not limited to, viral disease caused by hepatitis B, hepatitis C, rotavirus, human immunodeficiency virus type 1 (HIV-I), human immunodeficiency virus type II (HT.V- II), human T-cell lymphotropic virus type I (HTLV-I), human T-cell lymphotropic virus type II (HTLV-II), AIDS, DNA viruses such as hepatitis type B and hepatitis type C virus;
  • HIV-I human immunodeficiency virus type 1
  • HT.V- II human immunodeficiency virus type II
  • HTLV-I human T-cell lymphotropic virus type I
  • HTLV-II human T-cell lymphotropic virus type II
  • AIDS DNA viruses such as hepatitis type B and hepatitis type C virus
  • parvoviruses such as adeno-associated virus and cytomegalovirus
  • papovaviruses such as papilloma virus, polyoma viruses, and SV40
  • adenoviruses such as herpes simplex type I (HSV-T), herpes simplex type II (HSV-II), and Epstein-Barr virus
  • poxviruses such as variola (smallpox) and vaccinia virus
  • RNA viruses such as human
  • immunodeficiency virus type I HIV-1
  • human immunodeficiency virus type II HIV-II
  • human T-cell lymphotropic virus type I HTLV-T
  • human T-cell lymphotropic vims type IT HTLV- ⁇
  • influenza virus measles virus, rabies virus, Sendai virus, picornaviruses such as poliomyelitis vims, coxsackieviruses, rhinoviruses, reoviruses, togaviruses such as rubella virus (German measles) and Semliki forest virus, arboviruses, and hepatitis type A vims.
  • the antibody // modular dendrimer nanoparticles of the present invention can be employed in the treatment of any pathogenic disease for which a specific signature has been identified or which can be targeted for a given pathogen.
  • pathogens contemplated to be ireatable with the methods of the present invention include, but are not limited to, Legionella peomophilia, Mycobacterium tuberculosis, Clostridium tetani. Hemophilus influenzae. Neisseria gonorrhoeae, Treponema pallidum. Bacillus anthracis, Vibrio cholerae, Borrelia burgdorferi, Cornebacterium diphtheria. Staphylococcus aureus, human papilloma virus, human immunodeficiency virus, rubella virus, polio virus, and the like.
  • the present invention also includes methods involving co-administration of the antibody // modular dendrimer nanoparticles of the present invention with one or more additional active agents.
  • the agents may be administered concurrently or sequentially.
  • the conjugated dendrimers described herein are administered prior to the other active agent(s).
  • the agent or agents to be co-administered depends on the type of condition being treated.
  • the additional agent can be an agent effective in treating arthritis (e.g., TNF-a inhibitors such as anti-TNF a monoclonal antibodies (such as
  • K1NERETTM or ICE inhibitors nonsteroidal anti-inflammatory agents
  • piroxicam diclofenac, naproxen, flurbiprofen, fenoprofen, ketoprofen ibuprofen, fenamates, mefenamic acid, indomethacin, sulindac, apazone, pyrazolones, phenylbutazone, aspirin, COX-2 inhibitors (such as CELEBREX® (celecoxib), VIOXX® (rofecoxib), BEXTRA® (valdecoxib) and etoricoxib, (preferably MMP-13 selective inhibitors),
  • NEUROTIN® pregabalin, sulfasalazine, low dose methotrexate, iefiunomide,
  • the additional agents to be co-administered can be any of the well-known agents in the art, including, but not limited to, those that are currently in clinical use. The determination of appropriate type and dosage of radiation treatment is also within the skill in the art or can be determined with relative ease.
  • the composition is co-administered with an anti-cancer agent
  • Anthramycin Asimicin; Asparaginase; Asperlin; Azacitidine; Azetepa; Azotomycin;
  • Busulfan Cabergoiine; Cactinomycin; Calusterone; Caracemide; Carbetimer; Carboplatin;
  • Carmustine Carubicin Hydrochloride; Carzelesin; Cedefingol; Celecoxib; Chlorambucil; Cirolemyein; Cisplatin; Cladribine; Crisnatol Mesylate; Cyclophosphamide; Cytarabine;
  • DACA -[2-(Dimethyl-amino)ethyl]acridine-4-carboxamide); Dactinomycin;
  • Daunorubicin Hydrochloride Daunomycin; Deciiabine; Denileuliin Diftitox; Dexormaplatm;
  • Interferon AIfa ⁇ 2b Interferon Alfa ⁇ nl ; Interferon Alfa ⁇ n3; Interferon Beta- la; Interferon
  • Mitocromin Mitogillin; Mitomalcin; Mitomycin; Mytomycin C; Mitosper; Mitotane;
  • Ormap latin Ormap latin; Oxisuran; Paclitaxel; Pamidronate Disodium; Pegaspargase; Peliomycin;
  • Pentamustine Pepfomycin Sulfate; Perfosfamide; Pipobroman; Piposulfan; Piroxantrone
  • Procarbazine Hydrochloride Puromycin; Puromycin Hydrochloride; Pyrazofurin; Riboprine; Rituximab; Rogletimide; Rolliniastatin; Safmgol; Safingol Hydrochloride;
  • Spirogermanium Hydrochloride Spiromustine; Spiroplatin; Squamocin; Squaraotacin;
  • cyclophosphamide melphalan; chlorambucil; ifosfamide; busulfan; N-methyl-N-nitrosourea (MNU); , N'-Bis(2-chloroethyl)-N-nitrosourea (BCNU); N-(2-chloroethyl)-N'-cyclohex- yl- N-nitrosourea (CCNU); N-(2-chloroethyl)-N'-(trans-4-methylcyclohexyl-N— nitrosourea (MeCC U): N-(2 ⁇ chloroetliyl)-N , ⁇ (diethyl)etliylphosphonate-N ⁇ nit- rosourea (fotemusfine); streptozotocin; diacarbazine (D ' T ' IC); mitozoiomsde; temozolomide; thiotepa; mito
  • CPT-1 1 Doxorubicin; Daunomycin; Epirubicin; darubicin; mitoxantrone;
  • Antiproliferative agents e.g., Piritrexim Isothionate
  • Antiprostatic hypertrophy agent e.g., Sitogluside
  • Benign prostatic hyperplasia therapy agents e.g., Tamsulosin Hydrochloride
  • Prostate growth inhibitor agents e.g., Pentomone
  • Radioactive agents Fibrinogen 1 125; Fludeoxy glucose F 18; Fluorodopa F I S; Insulin I 125; Insulin I 131 ; Iobenguane I 123; lodipamide Sodium 1 131 ; lodoaniipyrme 1 131 ; lodochoiesteroi 1 131 ; Iodohippurate Sodium I 123; lodohippurate Sodium I 125; Iodohippurate Sodium I 131 ; Iodopyracet I 125;
  • Iodopyracet 1 131 Iofetamine Hydrochloride I 123; Iomethin I 125; Iomethin 1 131 ;
  • Technetium Tc 99m Exametazime; Technetium Tc 99m Furifosmm; Technetium Tc 99m Giuceptate; Technetium Tc 99m Lidotenin; Teclmeiium Tc 99m Mebrofenin; Technetium Tc 99m Medronate; Teclmeiium Tc 99m Medronate Disodium; Technetium Tc 99m Mertiatide; Technetium Tc 99m Oxidronate; Technetium Tc 99m Pentetate; ' T echnetium Tc 99m
  • Additional anti-cancer agents include, but are not limited to anti-cancer
  • Tricyclic anti-depressant drugs e.g., imipramine, desipramine, amitryptyline, clomipramine, trimipramine, doxepin, nortriptyline, protriptyline, amoxapine and maprotiline
  • non-tricyclic anti-depressant drugs e.g., sertraline, trazodone and citalopram
  • Ca ' antagonists e.g., verapamil, nifedipine, nitrendipine and caroverine
  • Calmodulin inhibitors e.g., prenylamine, trifluoroperazine and clomipramine
  • Amphotericin B Triparanol analogues (e.g., tamoxifen); antiarrhythmic drugs (e.g., quimdine);
  • antihypertensive drags e.g., reserpine
  • Thiol depleters e.g., buthionine and sulfoximine
  • Multiple Drug Resistance reducing agents such as Cremaphor EL.
  • Still other anticancer agents include, but are not limited to, annonaceous acetogenins; asimicin; roiJiniastatin; guaiiacone, squamocin, bullatacin; squamotacin; taxanes; paclitaxel; gemcitabine;
  • One particularly preferred class of anticancer agents are taxanes (e.g., paclitaxel and docetaxel). Another important category of anticancer agent is annonaceous ace
  • the composition is co-administered with a pain relief agent.
  • the pain relief agents include, but are not limited to, analgesic drugs, anxiolytic drugs, anesthetic drugs, antipsychotic drugs, hypnotic drugs, sedative drugs, and muscle relaxant drugs.
  • the analgesic drags include, but are not limited to, nonsteroidal anti-inflammatory drugs, COX-2 inhibitors, and opiates.
  • the non-steroidal anti-inflammatory drugs are selected from the group consisting of
  • Acetylsalicylic acid (Aspirin), Amoxiprin, Benorylate/Benorilate, Choline magnesium salicylate, Diflunisal, Ethenzamide, Faislamme, Methyl salicylate.
  • Flurbiprofen Ibuproxam, Indoprofen, Ketoprofen, Ketorolac, Loxoprofen, Naproxen, Oxaprozin, Pirprofen, Suprofen, Tiaprofenic acid), N-arylanthranilic acids, Mefenamic acid, Flufenamic acid, Meclofenamic acid, Tolfenamic acid, pyrazolidine derivatives,
  • Phenylbutazone Ampyrone, Azapropazone, Clofezone, Keb zone, Metamizole,
  • the COX-2 inhibitors are selected from the group consisting of Celecoxib, Etoricoxib, Lumiracoxtb, Parecoxib, Rofecoxib, and Vakiecoxib.
  • the opiate drugs are selected from the group consisting of natural opiates, alkaloids, morphine, codeine, thebaine, semi-synthetic opiates, hydromorphone,
  • the anxiolytic drugs include, but are not limited to, benzodiazepines, alprazolam, bromazepam (Lexotan), chlordiazepoxide (Librium),
  • Clobazam Clonazepam, Clorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, iemazepam, nimetazepam, Estazolani, Flimiirazepam, oxazepam (Serax), temazepam
  • the anesthetic drags include, but are not limited to, local anesthetics, procaine, amethocaine, cocaine, lidocaine, prilocaine, bupivacaine,
  • levobupivacaine levobupivacaine, ropivacaine, dibucaine, inhaled anesthetics, Desfiurane, Enflurane, Halot ane, Isoflurane, Nitrous oxide, Sevofiurane, Xenon, intravenous anesthetics,
  • Barbiturates amobarbital (Amytal), pentobarbital (Nembutal), secobarbital (Seconal), Phenobarbital, Methohexital, Thiopental, Methylphenobarbital, Meiharbital, Barbexaclone)), Benzodiazepines, alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium),
  • Clobazam Clonazepam, Ciorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, temazepam, nimetazepam, Estazolam, Flunitrazepam, oxazepam (Serax), temazepam
  • the antipsychotic drags include, but are not limited to, butyrophenones, haloperkloi, phenothiazines, Chlorpromazine (Thorazine), Fluphenazine (Prolixin), Perphenazine (Trilafon), Prochlorperazine (Compazine), Thioridazine (Mellaril), Trifluoperazine (Stelazine), Mesoridazine, Promazine, Tr flupromazine (Vesprin),
  • Ziprasidone (Geodon), AmisuJpride (Solian), Paliperidone (invega), dopamine, bifeprunox, norclozapine (ACP-104), Aripiprazole (Abilify), Tetrabenazine, and Cannabidiol.
  • the hypnotic drags include, but are not limited to, Barbiturates, Opioids, benzodiazepines, alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium), Clobazam, Clonazepam, Ciorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, temazepam, nimetazepam, Estazolam, Flunitrazepam, oxazepam (Serax), temazepam
  • the sedaiive drugs include, but are not limited to, barbituates, amobarbital (Amytal), pentobarbital (Nembutal), secobarbital (Seconal), Phenobarbital, Methohexital, Thiopental, Methylphenobarbital, Meiharbital, Barbexaclone),
  • benzodiazepines alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium), Clobazam, Clonazepam, Clorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, iemazepam, nimetazepam, Estazolam, Flunitrazepani, oxazepam (Serax), iemazepam (Restoril, Normison, Planum, Tenox, and T ' emaze), Triazolam, herbal sedatives,
  • the muscle relaxant drugs include, but are not limited to, depolarizing muscle relaxants, Succinyleholine, short acting non-depolarizing muscle relaxants, Mivacurium, apacuronium, intermediate acting non-depolarizing muscle relaxants, Atracurium, Cisatracurium, Rocuronium, Vecuronium, long acting nondepolarizing muscle relaxants, Alcuronium, Doxacurium, Gallamme, Metocurine,
  • the composition is co-administered with a pain relief agent antagonist.
  • the pain relief agent antagonists include drugs that counter the effect of a pain relief agent (e.g., an anesthetic antagonist, an analgesic antagonist, a mood stabilizer antagonist, a psycholeptic drug antagonist a psychoanaleptic drug antagonist, a sedative drug antagonist, a muscle relaxant drug antagonist, and a hypnotic drug antagonist).
  • pain relief agent antagonists include, but are not limited to, a respiratory stimuiant, Doxapram, BIMU-8, CX-546, an opiod receptor antagonist, Naloxone, naltrexone, nalorphine, levallorphan, cyprodime, naltrindole, norbinaltorphimine, buprenorphine, a benzodiazepine antagonist, ffumazenil, a non-depolarizing muscle relaxant antagonist, and neostigmine.
  • Example 1 Previous experiments involving dendrimer related technologies are located in U.S. Patent Nos. 6,471,968, 7,078,461 ; U.S. Patent Application Serial Nos. 09/940,243, 10/431 ,682, 1 1,503,742, 1 1 ,661 ,465, 1 1/523,509, 12/403, 179, 12/106,876, 1 1/827,637, 10/039,393, 10/254,126, 09/867,924, 12/570,977, and 12/645,081 ; U.S.
  • PCT/US2010/051835 PCT/US2010/050893 ; PCT/US2010/042556, PCT/US2001/015204, PCT/US2005/030278, PCT/US2009/069257, PCT/US2009/036992, PCT/US2009/059071 , PCT/US2007/015976, and PCT/US2008/061023.
  • This example describes the synthesis of modular dendrimer nanoparticles having precise numbers of imaging agents, and the synthesis of antibodies conjugated with modular dendrimer nanoparticles having precise numbers of imaging agents.
  • the functional group (e.g., dye molecule, therapeutic agent) is represented with an oval shape.
  • synthesis of the modular dendnmer nanoparticle having a precise number of imaging agents and an antibody conjugation ligand is divided into two sections: 1 ) isolation of dendnmer with exact numbers of imaging agent conjugation ligands and 2) imaging agent conjugation via the imaging agent conjugation ligands.
  • dendrimer-ligand species have been obtained at scales of tens of mg per batch and applied the isolation technology to ligands with terminal azide, alkene, thiol and cyciooctyne groups,
  • a strategy for the conjugation of an exact number of imaging agents (e.g., dyes) to the dendrimer is shown in Scheme 2. This process can be divided into two sections: 1) isolation of dendrimers with exact numbers of imaging agent conjugation ligands; and 2) conjugation of imaging agents (e.g., dyes) to dendrimers with exact numbers of imaging agent conjugation ligands.
  • the isolation protocol uses a generation 5 PAMAM dendrimer with alkene-terminated isolation ligands and a gradient elution of water and acetonitrile (with
  • conjugation of a thiol -modified AF488 to the dendrimer with exact numbers of alkynes is based on previously published conditions for UV-catalyzed thiol- ene 'click' chemistry (see, e.g., Killops, K. L.; et al, Journal of the American Chemical Society 2008, 130, ( 15), 5062).
  • An excess of imaging agent e.g., dye
  • the purity of the PAMAM dendrimer with exact numbers of alkene ligands is assessed by HPLC and ⁇ NMR.
  • PAMAM dendrimer with exact numbers of AF488 are also characterized by HPLC and NMR as well as by fluorimetry, and UV-vis.
  • R3 a ligand is configured to facilitate conjugation with another chemical group via click chemistry (e.g., cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group); wherein R4 is an azide group.
  • click chemistry e.g., cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group
  • R4 is an azide group.
  • orthogonal coupling alternatives include copper catalyzed alkyne-azide 'click' reaction.
  • spacer molecules can be used to reduce imaging agent (e.g., dye molecule) self-quenching. Table 2: Exam les of R rou s.
  • a monocoional anti-CD4 antibody is used in this example.
  • the monoclonal antibody is modified with an azido-amine linker using TSTU-mediated coupling chemistry.
  • TSTU-mediated coupling chemistry To avoid side-reactions with the aniibody primary amines, a 1000 fold excess of the azido-amine linker is used.
  • L!nreacted linker and coupling agents are removed using a size exclusion column and conjugation of the dendrimer to the antibody is achieved using ring-stein promoted 'click' chemistry.
  • the antibody -dye ratio is determined by fluorimetry and UV-vis, Purity of the conjugate is determined by SDS-PAGE and identification of the antibody conjugation region is determined by a fragmentation method (see, e.g., Pierce FAB Preparation Kit - 44985. Pierce Biotechnology Product Instructions 201 1). Specificity of the antibodies conjugated with (wo modular dendrimer nanoparticles having precise numbers of imaging agents is determined by flow cytometry with a co-culture of CD4 + and - cells. Batch consistency is measured using fluorimetry and the flow cytometry assay with CD4 +/- cells.
  • This example describes the synthesis of modular dendrimer nanoparticles having precise numbers of imaging agents, and the synthesis of antibodies conjugated with modular dendrimer nanoparticles having precise numbers of imaging agents.
  • synthesis of the modular dendrimer nanoparticle having a precise number of imaging agents and an antibody conjugation ligand is divided into two sections: 1 ) isolation of dendrimer with exact numbers of imaging agent conjugation ligands and 2) imaging agent conjugation via the imaging agent conjugation ligands.
  • a strategy for the conjugation of an exact number of imaging agents (e.g., dyes) to the dendrimer is shown in Scheme 6. This process can be divided into two sections: 1) isolation of dendrimers with exact numbers of imaging agent conjugation ligands; and 2) conjugation of imaging agents (e.g., dyes) to dendrimer with exact numbers of imaging agent conjugation ligands.
  • the isolation protocol uses a generation 5 PAMAM dendrimer with alkene - ierminated isolation ligands and a gradient elution of water and acetonitrile (with 0.14% trifluoroacetic acid).
  • PAMAM dendrimer wiih exact numbers of alkene ligands is assessed by HPLC and J H NMR.

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Abstract

The present invention relates to novel methods of synthesis and isolation of antibodies conjugated with modular dendrimer nanoparticles. In particular, the present invention is directed to antibodies conjugated with novel modular dendrimer nanoparticles having precise numbers of imaging agents, methods of synthesizing the same, compositions comprising such antibodies conjugated with such modular dendrimer nanoparticles, as well as systems and methods utilizing the conjugates (e.g., in imaging settings) (e.g., in diagnostic and/or therapeutic settings) (e.g., for the delivery of therapeutics, imaging, and/or targeting agents).

Description

SYNTHESIS AND ISOLATION OF DENDRIMER BASED IMAGING SYSTEMS
FIELD OF THE INVENTION
The present invention relates to novel methods of synthesis and isolation of antibodies conjugated with modular dendrimer nanoparticies. In particular, the present invention is directed to antibodies conjugated with novel modular dendrimer nanoparticies having precise numbers of imaging agents, methods of synthesizing the same, compositions comprising such antibodies conjugated with such modular dendrimer nanoparticies, as well as systems and methods utilizing the conjugates (e.g., in imaging settings) (e.g., in diagnostic and/or therapeutic settings) (e.g., for the delivery of therapeutics, imaging, and/or targeting agents).
BACKGROUND OF THE INVENTION
Antibody reagents labeled with molecular iags such as fluorescent dyes are essential tools for medical researchers studying biological processes, and for physicians diagnosing disease and monitoring the administration of therapy. Despite the clear success of labeled antibodies in scientific and medical applications, further progress in the field is limited by current technological paradigms that offer poor control over the number and positioning of dyes conjugated to each antibody (see, e.g., Hofer, T.; et al., Biochemistry 2009, 48, (50), 12047-12057; Vira, 8.; et al, Analytical Biochemistry 2010, 402, (2), 146-150; Tadatsu, Y.; ei al., The journal of medical investigation : JMi 2006, 53, (1-2), 52-60). As a result, labeled antibodies are neither highly quantitative nor optimally sensitive. In addition, labeled antibodies show high levels of batch-to-batch variability.
Improved imaging techniques are needed. SUMMARY
Embodiments of the present invention provide solutions to such problems. For example, embodiments of the present invention provide compositions comprising antibodies conjugated with dendrimer nanoparticies attached to precise numbers of dye agents. In addition, embodiments of the present invention provide methods for generating / sjmtbesizing such compositions. In addition, embodiments of the present invention provide methods for using such compositions.
For example, for clinical applications, the consistency and reliability of reagents is paramount, and antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents greatly reduces the risk of incorrect diagnoses as the result of reagent variability. In addition, some clinical assays, such as those for AIDS, require multi-time point measurements and thus multiple lots of the antibody reagent: these inter- batch measurements are more reliable with antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents, due to batch-to-batch consistency. Finally, because of the high dye loadings and increased sensitivity with antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents, earlier detection of diseases and pre-disease states is facilitated, leading to improved treatment outcomes.
In addition, antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents provide additional benefits through increased efficiency in the manufacturing process, as every antibody can be labeled using the same method. For example, even if reagent manufacturers only used antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents to replace current repertoire of labeled antibodies, antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents permits the accomplishment more easily and with fewer resources. In addition, due to the modularity of the antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents with respect to both imaging agents and number of imaging agents, manufacturers have the option to easily conjugate any of a wide range of dy es - in different defined quantities - using the same universal reaction scheme.
Accordingly, the present invention relates to novel methods of synthesis and isolation of antibodies conjugated with modular dendrimer nanoparticles. In particular, the present invention is directed to antibodies conjugated with novel modular dendrimer nanoparticles having precise numbers of imaging agents, methods of synthesizing the same, compositions comprising such antibodies conjugated with such modular dendrimer nanoparticles, as well as systems and methods utilizing the conjugates (e.g., in imaging settings) (e.g., in diagnostic and/or therapeutic settings) (e.g., for the delivery of therapeutics, imaging, and/or targeting agents). In certain embodiments, the present invention provides compositions comprising a plurality of antibodies having a precise number of imaging agents. The present invention is not limited to particular embodiments pertaining to a plurality of antibodies having a precise number of imaging agents.
In some embodiments, each of the antibodies within the plurality of antibodies are the same antibody. There is no limitation regarding the type or kind of antibody that may be used within such a pluralit of antibodies. In some embodiments, for example, any of the antibodies recited in Tables 1 and 2 may be used. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody.
In some embodiments, each of the plurality of antibodies are conjugated with two modular dendrimer nanoparticles. In some embodiments, each of the plurality of antibodies have an antibody Fc region, wherein the conjugation between the antibodies and the modular dendrimer nanoparticles occurs at the antibody Fc region. In some embodiments, the conjugation at the antibody Fc region occurs via a 1 ,3-dipolar cycloaddition reaction.
There is no limitation regarding the modular dendrimer nanoparticles. In some embodiments, approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81%, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.) of the modular dendrimer nanoparticles are conjugated with a precise number and kind of imaging agents. In some embodiments, the conjugation between the imaging agents and the dendrimer occurs via imaging agent conjugation iigands (e.g., an alkene group, a thiol group, a dieneophiie group, and a diene group) positioned on the dendrimers.
There are no limits regarding the number of imaging agents conjugated with the modular dendrimer nanoparticle. In some embodiments, the number of imaging agents is between 1 and 8.
There are no limits regarding the type or kind of imaging agent. In some
embodiments, the imaging agent is selected from the group consisiting of Aiexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Aiexa Fluor 546 (yellow), Aiexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocyanate (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant Violet™ 421, BD Horizon™ V450, Pacific Blue™, AmCyan, phycoerythrin (PE), Brilliant Vioiet™ 605, BD Horizon™ PE-CF594, PI, 7-AAD, allophycocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FluorX™, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, ammocournarm, 3- azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Atto 532, Atto Rho6G, Atto 550, Atto 565, Atto 590, Atto 594, Atto 633, Atto Rhol 1, Atto Rhol4, Atto 647, Atto 647ΊΜ, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™4Q5M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™62QR, CF™633, CF™640R, CF™647, CF™660, CF™660R, CF™680, CF™680R, CF™750, CF™770, and CF™790 .
In some embodiments, the imaging agent is a mass-spec label selected from the group consisting of 139La, 141 Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146 d, 147Sm, 148Nd, 149Sm, 150 d, 151Eu, I52Sm, I53Eu, 154Sm, 156Gd, 158Gd, 159Tb, 16()Gd, I62Dy, 164Dy, 165Ho, 166ΕΓ, 167Er, 168Er, 169Tm, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb. In such embodiments wherein the imaging agent is a mass-spec label, its detection is accomplished with through mass-spectrometry.
In some embodiments, the modular dendrimer nanoparticle is conjugated with one or more additional funct ional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
The modular dendrimer nanoparticles are not limited to a particular type of dendrimer. In some embodiments, the modular dendrimer nanoparticles comprise PAMAM dendrsmers. In some embodiments, the dendrimers within the plurality of modular dendrimer nanoparticles have terminal branches, wherein the terminal branches comprise a blocking agent. In some embodiments, the blocking agent comprises an acetyl group.
In certain embodiments, the present invention provides compositions comprising a plurality of modular dendrimer nanoparticles, wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81%, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.) of the plurality of modular dendrimer nanoparticles have a precise number of imaging agent conjugation ligands.
The compositions are not limited to a particular type of imaging agent conjugation ligand. In some embodiments, the imaging agent conjugation ligand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group. In some embodiments, the imaging agent conjugation ligand is configured for attachment with attachment ligands complexed with imaging agents,
In some embodiments, each of the plurality of modular dendrimer nanoparticles further comprise an antibody conjugation ligand. The compositions are not limited to a particular type of antibody conjugation ligand. In some embodiments, the antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group. In some embodiments, the antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
In some embodiments, the imaging agent conjugation ligands are conjugated with imaging agents. The compositions are not limited to a particular type of imaging agent.
In some embodiments, the imaging agents are selected from the group consisting of
Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Aiexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Aiexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocvanate (FITC), 6-TAMARA, acridme orange, cis-parinaric acid, Hoechst 33342, Brilliant Violet™ 421, BD Horizon™ V450, Pacific Blue™, AmCyan, phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon™ PE-CF594, PI, 7-AAD, allophycocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FiuorX™, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, am.inocoum.arm, 3- azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Aito 488, Alto 520, Alto 532, Alto Rho6G, Alto 550, Alto 565, Alto 590, Atto 594, Atto 633, Atto Rhol 1, Atto Rhol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™620R, CF™633, CF™640R, CF™647, CF™66(), CF™660R, CF™680, CF™680R, CF™750, CF™770, and CF™79().
In some embodiments, the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, I44Nd, 145Nd, 146Nd, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 1 71Yb, 172Yb, 174Yb, 175Lu, and 176Yb. In such embodiments wherein the imaging agent is a mass-spec label, its detection is accomplished with through mass-spectrometry.
In some embodiments, the antibody conjugation ligand is conjugated with an antibody. In some embodiments, the conjugation with an antibody is at the Fc region of the antibody. In some embodiments, the conjugation with an antibody occurs via a 1,3-dipolar cycloaddition reaction. The compositions are not limited to a particular type of antibody. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the antibody is an antibody selected from the group consisting of the antibodies shown in Tables I and 2.
In some embodiments, the plurality of modular dendrimer nanoparticles are conjugated with one or more additional functional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
The modular dendrimer nanoparticles are not limited to a particular type of dendrimer. In some embodiments, the modular dendrimer nanoparticles comprise PAMAM dendrsmers. In some embodiments, the dendrimers within the plurality of modular dendrimer nanoparticles have terminal branches, wherein the terminal branches comprise a blocking agent. In some embodiments, the blocking agent comprises an acetyl group.
In certain embodiments, the present invention provides methods for generating pluralities of modular dendrimer nanoparticles wherein approximately 70% or more of the batches of modular dendrimer nanoparticles have a precise number of imaging agent conjugation iigands. In some embodiments, the methods comprise conjugating imaging agent conjugation Iigands with a plurality of dendrimer nanoparticles; and separating the plurality of dendrimer nanoparticles conjugated with the imaging agent conjugation Iigands into pluralities based upon the number of imaging agent conjugation Iigands conjugated to the dendrimer nanoparticles, wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 72%, 75%, 80%, 81 %, 83%, 85%, 90%, 92%, 95%, 97%, 98%, 99%, 99.999%, etc.) of each batch of modular dendrimer nanoparticles have a precise number of imaging agent conjugation Iigands.
The methods are not limited to a particular separation technique and/or method. In some embodiments, such separation involves application of reverse phase HPLC to yield a subpopulation of pluralities based upon the number of imaging agent conjugation Iigands conjugated to the dendrimer nanoparticles indicated by a chromatographic trace, and applying a peak fitting analysis to the chromatographic trace to identify pluralities of modular dendrimer nanoparticles wherein approximately 70%> or more of the pluralities of modular dendrimer nanoparticles have a precise number of imaging agent conjugation Iigands. In some embodiments, the re verse phase HPLC is performed using silica gel media comprising a carbon moiety, the carbon moiety ranging from C3 to C8. In some embodiments, the reverse phase HPLC is performed using CS silica gel media. In some embodiments, the re verse phase HPLC is conducted using a mobile phase for elution of the ligand-conjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) water: acetonitrile and ending with 20:80 (v/v) water:acetonitrile. In some embodiments, the reverse phase HPLC is conducted using a mobile phase for elution of the ligand-conjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) watenisopropanol and ending with 20:80 (v/v) watenisopropanol. In some embodiments, the gradient is applied at a flow rate of 1 ml/min. In some embodiments, the gradient is applied at a flow rate of 10 ml/min. In some embodiments, the peak fitting analysis is performed using a Gaussian fit with an exponential decay tail.
The methods are not limited to a particular type of imaging agent conjugation ligand. Tn some embodiments, the imaging agent conjugation ligand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group. In some embodiments, the imaging agent conjugation ligand is configured for attachment with attachment ligands complexed with imaging agents.
In some embodiments, the methods further comprise conjugating an antibody conjugation ligand with one or more of the batches of modular dendrimer nanoparticles have a precise number of imaging agent conjugation ligands. The methods are not limited to a particular type of antibody conjugation ligand. In some embodiments, the antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fiuorinated eyclooctyne group, and an alkyne group. In some embodiments, the antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
In some embodiments, the methods further comprise conjugating imaging agents with one or more of the batches of modular dendrimer nanoparticles having a precise number of imaging agent conjugation ligands, wherein the conjugating occurs between the imaging agents and the imaging agent conjugation ligands. The methods are not limited to a particular ty e of imaging agent.
In some embodiments, the imaging agents are selected from the group consisting of Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocvanate (FTTC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant Violet™ 421, BD Horizon™ V450, Pacific Blue™, AmCyan, phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon™ PE-CF594, PI, 7-AAD, allophycocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FtuorX™, TraRed, Red 61 3, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, aminocoumarin, 3- azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Atto 532, Atto Rho6G, Atto 550, Atto 565, Atto 590, Atto 594, Atto 633, Atto Rhol l, Atto Rhol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™620R, CF™633, CF™640R, CF™647, CF™660, CF™660R, CF™680, CF™680R, CF™750, CF™770, and CF™790.
In some embodiments, the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146 d, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, I67Er, 168Er, 169Tm, 170Er, 1 71Yb, 172Yb, 174Yb, 175Lu, and 176Yb.
In some embodiments, the methods further comprise conjugating two of the modular dendrimer nanoparticles having a precise number of imaging agent conjugation ligands from one or more of the batches with an antibody. In some embodiments, the conjugation with an antibody is at the Fc region of the antibody. In some embodiments, the conjugation with an antibody occurs via a 1,3 -dipolar cycloaddition reaction.
The methods are not limited to a particular type of antibody. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the antibody is an antibody selected from the group consisting of the antibodies shown in Tables 1 and 2.
In certain embodiments, the present invention provides methods of imaging, comprising administering to a sample one or more of the plurality of antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents, wherein the antibodies are capable of binding a cell surface antigens associated with the antibodies, and wherein upon binding with the cell surface antigens associated with the antibodies the imaging agents are detected. In some embodiments, the sample is a cell sample. In some embodiments, the sample is within a living subject.
In certain embodiments, the present invention provides methods of imaging a tissue region of interest in a subject, comprising administering to the subject one or more antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents, wherein the one or more antibobies bind to the tissue region of interest, and wherein upon binding with the tissue region of interest the imaging agents are detected, in some embodiments, the subject is a living mammal. In some embodiments, the imaging is used to characterize the tissue region of interest. In some embodiments, the characterizing is diagnosing the presence or absence of a disorder.
In certain embodiments, the present invention provides methods of imaging a tissue region of interest in a subject, comprising obtaining a sample fro a subject, wherein the sample comprises a tissue region of interest in the subject, administering to the sample one or more antibodies conjugated with two modular dendnmer nanoparticles having a precise number and kind of imaging agents, wherein the one or more antibodies bind to the tissue region of interest, and wherein upon binding with the tissue region of interest the imaging agents are detected. In some embodiments, the subject is a living mammal. In some embodiments, imaging is used to characterize the tissue region of interest. In some embodiments, the characterizing is diagnosing the presence or absence of a disorder.
In certain embodiments, the present invention provides methods for imaging different antigens having varying abundance quantities in a manner wherein the detected imaging agent intensity is equated. For example, in some embodiments, different types of antigens have differing levels of in vivo or in vitro abundance. In such embodmiments, antibodies directed to the higher abundance antigen are configured to be conjugated with modular clendrimer nanoparticles having fewer imaging agents (e.g., 2 imaging agents) than modular dendrimer nanoparticles conjugated with antibodies directed to the lower abundance antigen (e.g., 16 imaging agents). Such embodiments permit the equating of imaging agent intensity for antigens regardless of the abundance levels of such antigens.
Additional embodiments will be apparent to persons skilled in the relevant art based on the teachings contained herein.
DESCRIPTION OF THE DRAWINGS
Figure 1 shows an embodiment of the present invention having a dendrimer scaffold with an antibody conjugation ligand (orthogonal antibody conjugation linker) and an exact number of imaging agent conjugation iigands (dye attachment sites), and the subsequent attachment of imaging agents (dyes) to the imaging agent conjugation Iigands on the dendrimer scaffold.
Figure 2 shows an antibody conjugated with two modular dendrimer nanoparticles having a precise number of imaging agents (DLabei). As shown, the Fc region of the antibody is configured with an azide-modified C- ierminL
Figure 3 shows HPLC elution profiles of dendrimers with precise numbers of alkyne- terminated Iigands isolated by Semi-Preparator '- HPLC from the distribution of dendrimer- ligand species.
Figure 4 shows imaging results for samples as described in Example 6. DEFINITIONS
To facilitate an understanding of the present invention, a number of terms and phrases are defined below:
As used herein, the term "subject" refers to any animal (e.g., a mammal), including, but not limited to, humans, non-human primates, rodents, and the like, which is to be the recipient of a particular treatment. Typically, the terms "subject" and "patient" are used interchangeably herein in reference to a human subject.
As used herein, the term "non-human animals" refers to all non-hitman animals including, but not limited to, vertebrates such as rodents, non-human primates, ovines, bovines, ruminants, lagomorphs, porcines, eaprines, equines, canines, felines, aves, etc.
As used herein, the term "subject suspected of having cancer" refers to a subject that presents one or more symptoms indicative of a cancer (e.g., a noticeable lump or mass) or is being screened for a cancer (e.g., during a routine physical). A subject suspected of having cancer may also have one or more risk factors. A subject suspected of having cancer has generally not been tested for cancer. However, a "subject suspected of having cancer" encompasses an individual who has received a preliminary diagnosis (e.g., a CT scan showing a mass) but for whom a confirmatory test (e.g., biopsy and/or histology) has not been done or for whom the stage of cancer is not known. The term further includes people who once had cancer (e.g., an individual in remission). A "subject suspected of having cancer" is sometimes diagnosed with cancer and is sometimes found to not have cancer. As used herein, the term "subject diagnosed with a cancer" refers to a subject who has been tested and found to have cancerous ceils. The cancer may be diagnosed using any suitable method, including but not limited to, biopsy, x-ray, blood test, and the diagnostic methods of the present invention.
As used herein, the term "sample" is used in its broadest sense. In one sense, it is meant to include a specimen or culture obtained from any source, as well as biological and environmental samples. Biological samples may be obtained from animals (including humans) and encompass fluids, solids, tissues, and gases. Biological samples include blood products, such as plasma, serum and the like. Environmental samples include environmental material such as surface matter, soil, water, crystals and industrial samples. Such examples are not however to be construed as limiting the sample types applicable to the present invention.
As used herein, the term "drag" is meant to include any molecule, molecular complex or substance administered to an organism for diagnostic or therapeutic purposes, including medical imaging, monitoring, contraceptive, cosmetic, nutraceutical, phannaceutical and prophylactic applications. The term "drag" is further meant to include any such molecule, molecular complex or substance that is chemically modified and/or operativeiy attached to a biologic or biocompatible structure.
As used herein, the term "purified" or "to purify" or "compositional purity" refers to the removal of components (e.g., contaminants) from a sample or the le vel of components
(e.g., contaminants) within a sample. For example, unreacted moieties, degradation products, excess reactants, or byproducts are removed from a sample following a synthesis reaction or preparative method.
"Amino acid sequence" and terms such as "polypeptide" or "protein" are not meant to limit the amino acid sequence to the complete, native amino acid sequence associated with the recited protein molecule.
The term "native protein" as used herein to indicate that a protein does not contain amino acid residues encoded by vector sequences; that is, the native protein contains only those amino acids found in the protein as it occurs in nature. A native protein may be produced by recombinant means or may be isolated from a naturally occurring source.
As used herein the term "portion" when in reference to a protein (as in "a portion of a given protein") refers to fragments of that protein. The fragments may range in size from four amino acid residues to the entire amino acid sequence minus one amino acid. As used herein, the term "cell culture" refers to any in vitro culture of cells. Included within this term are continuous cell lines (e.g., with an immortal phenotype), primary ceil cultures, transformed cell lines, finite cell lines (e.g., non- ransformed cells), and any other cell population maintained in vitro.
As used herein, the term "eukaryote" refers to organisms distinguishable from
"prokaryotes." It is intended that the term encompass all organisms with cells that exhibit the usual characteristics of eukaryotes, such as the presence of a true nucleus bounded by a nuclear membrane, within which lie the chromosomes, the presence of membrane-bound organelles, and other characteristics commonly observed in eukaryotic organisms. Thus, the term includes, but is not limited to such organisms as fungi, protozoa, and animals (e.g., humans).
As used herein, the term "in vitro" refers to an artificial environment and to processes or reactions that occur within an artificial environment. In vitro environments can consist of, but are not limited to, test tubes and cell culture. The term "in vivo" refers to the natural environment (e.g., an animal or a cell) and to processes or reaction that occur within a natural environment.
The terms "test compound" and "candidate compound" refer to any chemical entity, pharmaceutical, dr g, and the like that is a candidate for use to treat or prevent a disease, illness, sickness, or disorder of bodily function (e.g., cancer). Test compounds comprise both known and potential therapeutic compounds, A test compound can be determined to be therapeutic by screening using screening methods known in the art.
As used herein, the term "nanodevice" or "nanodevices" or "nanoparticle" or
"nanoparticles" refer, generally, to compositions comprising dendrimers of the present invention. As such, a nanodevice or nanoparticle may refer to a composition comprising a dendrimer of the present invention that may contain one or more Hgands, linkers, and/or functional groups (e.g., a therapeutic agent, a targeting agent, a trigger agent, an imaging agent) conjugated to the dendrimer.
As used herein, the term "degradable linkage," when used in reference to a polymer refers to a conjugate that comprises a physiologically cleavable linkage (e.g., a linkage that can be hydrolyzed (e.g., in vivo) or otherwise reversed (e.g., via enzymatic cleavage). Such physiologically cleavable linkages include, but are not limited to, ester, carbonate ester, carbamate, sulfate, phosphate, acyloxyaikyl ether, acetal, and ketal linkages (See, e.g., U.S. Pat. No. 6,838,076). Similarly, the conjugate may comprise a cleavable linkage present in the linkage between the dendrimer and functional group, or, may comprise a cleavable linkage present in the polymer itself (See, e.g., U.S. Pat. App. Nos. 20050158273 and 20050181449).
A "physiologically cleavable" or "hydrolysable" or "degradable" bond is a bond that reacts with water (i.e., is hydrolyzed) under physiological conditions. The tendency of a bond to hydrolyze in water will depend not only on the general type of linkage connecting two central atoms but also on the substituents attached to these central atoms. Appropriate hydrolytically unstable or weak linkages include but are not limited to carboxylate ester, phosphate ester, anhydrides, acetate, ketals, acyloxyalkyl ether, imines, orihoesters, peptides and oligonucleotides.
An "enzymaticaUy degradable linkage" means a linkage that is subject to degradation by one or more enzymes.
A "hydrolytically stable" linkage or bond refers to a chemical bond (e.g., typically a covalent bond) thai is substantially stable in water (i.e., does not undergo hydrolysis under physiological conditions to any appreciable extent over an extended period of time).
Examples of hydrolytically stable linkages include, but are not limited to, carbon-carbon bonds (e.g., in aliphatic chains), ethers, amides, urethanes, and the like.
As used herein, the term "NAALADase inhibitor" refers to any one of a multitude of inhibitors for the neuropeptidase NAALADase (N-acetylated-alpha linked acidic
dipeptidase). Such inhibitors of NAALADase have been well characterizied. For example, an inhibitor can be selected from the group comprising, but not limited to, those found in U.S.
Pat. No. 6,01 1 ,021 .
As used herein, an "NH2-terminal blocking agent" is a functional group that prevents the reactivity ofNH2-terminal branches of dendrimers. Such blocking agents include but are not limited to acetyl groups. Blocking of NH2- terminal dendrimers may be partial or complete.
As used herein, an "ester coupling agent" refers to a reagent that can facilitate the formation of an ester bond between two reactants. The present invention is not limited to any particular coupling agent or agents. Examples of coupling agents include but are not limited to 2-chloro-l-methylpyridium iodide and 4-(dimethylamino) pyridine, or
dicyclohexylcarbodiimide and 4-(dimethylamino) pyridine or diethyl azodicarboxvlate and rriphenylphosphine or other carbodiimide coupling agent and 4-(diniethylamino)pyridine.
As used herein, the term "glycidolate" refers to the addition of a 2,3-dihydroxylpropyl group to a reagent using glycidol as a reactant. In some embodiments, the reagent to which the 2,3-dihydroxylpropyl groups are added is a dendrimer. In some embodiments, the dendrimer is a PAMAM dendrimer. Glycidolation may be used generally to add terminal hy droxy! functional groups to a reagent.
As used herein, the term "amino alcohol" or "ammo-alcohol" refers to any organic compound containing both an amino and an aliphatic hydroxy! functional group (e.g., which may be an aliphatic or branched aliphatic or aiicyclic or hetero-alicyclic compound containing an amino group and one or more hydroxyl(s)). The generic structure of an amino alcohol may be expressed as NH2-R-(OH)m wherein m is an integer, and wherein R comprises at least two carbon molecules (e.g., at least 2 carbon molecules, 10 carbon molecules, 25 carbon molecules, 50 carbon molecules).
As used herein, the term "one-pot synthesis reaction" or equivalents thereof, e.g., "1- pot", "one pot", etc., refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants. In some embodiments, conjugation between a dendrimer (e.g., a terminal arm of a dendrimer) and a functional !igand is accomplished during a "one-pot" reaction. The term "one-pot synthesis reaction" or equivalents thereof, e.g., "1 -pot", "one pot", etc., refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants. In some embodiments, a one -pot reaciion occurs wherein a hydroxyl-terminated dendrimer (e.g., HO-PAMAM dendrimer) is reacted with one or more functional ligands (e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent) in one vessel, such conjugation being facilitated by ester coupling agents (e.g., 2-chloro- 1 -methylpyridinium iodide and 4-(dimethylamino) pyridine) (see, e.g., U.S. Patent App. No. 61/226,993).
As used herein, the term "solvent" refers to a medium in which a reaction is conducted. Solvents may be liquid but are not limited to liquid form. Solvent categories include but are not limited to nonpoiar, polar, protic, and aproiic.
As used herein, the term "dialysis" refers to a purification method in which the solution surrounding a substance is exchanged over time with another solution. Dialysis is generally performed in liquid phase by placing a sample in a chamber, tubing, or other device with a selectively permeable membrane. In some embodiments, the selectively permeable membrane is cellulose membrane. In some embodiments, dialysis is performed for the purpose of buffer exchange. In some embodiments, dialysis may achieve concentration of the original sample volume. In some embodiments, dialysis may achieve dilution of the original sample volume.
As used herein, the term, "precipitation" refers to purification of a substance by causing it to take solid form, usually within a liquid context. Precipitation may then allow collection of the purified substance by physical handling, e.g. eentrifugation or filtration.
As used herein, the term "Baker-Huang dendriiner" or "Baker-Huang PAMAM dendrimer" refers to a dendrimer comprised of branching units of structure:
Figure imgf000016_0001
wherein R comprises a carbon-containing functional group (e.g., CF3). In some
embodiments, the branching unit is activated to its HNS ester. In some embodiments, such activation is achieved using TSTU. In some embodiments, EDA is added. In some embodiments, the dendrimer is further treated to replace, e.g., CF3 functional groups with NH2 functional groups; for example, in some embodiments, a CF3-contaiiiing version of the dendrimer is treated with K2CO3 to yield a dendrimer with terminal NFI? groups (for example, as shown in U.S. Pat. App. No. 12/645,081), In some embodiments, terminal groups of a Baker-Huang dendrimer are further denvatized and/or further conjugated with other moieties. For example, one or more functional ligands (e.g., for therapeutic, targeting, imaging, or drug delivery function(s)) may be conjugated to a Baker-Huang dendrimer, either via direct conjugation to terminal branches or indirectly (e.g., through linkers, through other functional groups (e.g., through an OH- functional group)). In some embodiments, the order of iterative repeats from core to surface is amide bonds first, followed by tertiary amines, with ethylene groups intervening between the amide bond and tertiary amines. In preferred embodiments, a Baker-Huang dendrimer is synthesized by convergent synthesis methods.
As used herein, the term "click chemistry" refers to chemistry tailored to generate substances quickly and reliably by joining small modular units together (see, e.g., Kolb et al. (2001) Angewandte Chemie Intl. Ed, 40:2004-201 1 : Evans (2007) Ausiralian J. Chem, 60:384-395; Carlmark et al. (2009) Chem. Soc. Rev. 38:352-362).
As used herein, the term "alkyne ligand" refers to a ligand bearing an alkyne functional group. In some embodiments, alkyne ligands further comprise an aromatic group. As used herein, the term "azide ligand" refers to a ligand bearing an azide functional group. In some embodiments, azide ligands further comprise an aromatic group.
As used herein, the term "peak fitting analysis" refers to mathematical determination of the functional form of a curve in a chromatographic trace. In some embodiments, an HPLC trace is used. In some embodiments, a reverse phase HPLC trace is used. In some embodiments, software is used for peak fitting analysis (e.g., graphing software, image analysis software, data analysis software). In some embodiments, the Igor Pro software package is used. Functional forms applied to peaks may include but are not limited to Gaussian, double exponential, polynomial, Lorentzian, linear, exponential, power law, sine, lognormal, Hill equation, sigmoid, or a combination thereof. In some embodiments, a
Gaussian curve with an exponential decay tail is applied. Fitting peaks may be constrained or not constrained.
As used herein, the term "high performance liquid chromatography" or "high pressure liquid chromatography" or "HPLC" refers to techniques known, in the art of macromolecule separation, quantification, and identification. HPLC is used to separate mixtures of molecules on the basis of inherent properties possessed by the molecules including but not limited to size, polarity, ligand affinity, hydrophobicity, and charge. In some embodiments, "reverse phase HPLC" (also referred to as "reversed phase HPLC", "reverse-phase HPLC", "reversed-phase HPLC", "RFC" or "RP-HPLC") may be used with methods, systems, and synthesis methods of the present invention. Reverse phase HPLC involves a non-polar stationary phase and an aqueous, moderately polar mobile phase. One common stationary phase is a silica which has been treated with RM^SiCl, where R is a straight chain alky I group such as CisHs? or CsHj?. The number of carbons in the straight chain alkyl group can vary (e.g., 2, 3, 4, 5, 6, 7, 8, greater than 8). With these stationary phases, retention time is longer for molecules which are more non-polar, while polar molecules elute more readily. Retention time can be increased by adding more water to the mobile phase; thereby making the affinity of the hydrophobic analyte for the hydrophobic stationary phase stronger reiaiive to the now more hydrophilic mobile phase. Similarly, retention time can be decreased by adding more organic solvent to the eluent.
As used herein, the term "distribution" refers to the variance in the number of different ligands attached to a dendrimer within a population of dendrimers. For example, a dendrimer sample in which the average number of ligands attachments (ligand conjugates) is 5 may have a distribution of 0-10 (i.e., some proportion of the dendrimers in the population have no Iigands attached, some proportion of the dendrimers in the population have 10 ligands attached, and other proportions have between 2 and 9 iigands attached.)
As used herein, the term "ligand" refers to any moiety covaiently attached (e.g., conjugated) to a dendrimer branch. Some Iigands may serve as "linkers" such that they intervene or are intended to intervene in the future between the dendrimer branch terminus and another more terminal ligand. Some Iigands have functional utility for specific applications, e.g., for therapeutic, targeting, imaging, or drug delivery function(s). The terms "ligand" and "conjugate" may be used interchangeably.
As used herein, the term "inflammatory disease" refers to any disease characterized by inflammation of tissues or cells. Inflammatory diseases may be acute or chronic, and include but are not limited to eczema, inflammatory bowel disease, ulcerative colitis, multiple sclerosis, myocarditis, rheumatoid arthritis, asthma, psoriasis, ischemia/reperfusion injury, ulcerative colitis, necrotizing enterocolitis, pelvic inflammatory disease, empyema, pleurisy, pyelitis, pharyginitis, acne, urinary tract infection, Crohn disease, systemic lupus erythematosus, and acute respiratory distress syndrome.
As used herein, the term "rheumatoid arthritis" (RA) refers to a chronic systemic infl ammatory disease of unknown cause that primarily affects the peripheral joints in a symmetric pattern. Common symptoms include but are not limited to fatigue, malaise, and morning stiffness. Extra-articular involvement of organs such as the skin, heart, lungs, and eyes can be significant. One of ordinary skill in the medical arts appreciate that RA causes joint destruction and thus often leads to considerable morbidity and mortality.
As used herein, the term "structural uniformity" refers to the number of ligand conjugations within a dendrimer device (e.g., dendrimer system, ligand-conjugated dendrimer). In a population of dendrimer compositions with 100% structural uniformity, for example, all dendrimer molecules bear the same number of Iigands if one ligand type is present; or the same number of each type of ligand if different ligand types are present. As used herein, high structural uniformity does not preclude variances in dendrimer backbone and/or branches insofar as such variances do not impact the number of ligand attachments. DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention describe modular dendrimer nanoparticies with precise numbers of imaging agents (e.g., dye molecules) per particle and antibody conjugation Hands (see, e.g., Figure 1). Such modular dendrimer nanoparticies with precise numbers of imaging agents (e.g., dy e molecules) per particle and antibody conjugation ligands are not limited to particular uses. In some embodiments, such modular dendrimer nanoparticles with precise numbers of imaging agents (e.g., dye molecules) per particle and antibody conjugation ligands are used to label antibodies so as to generate antibodies labeled with a quantitative number of imaging agents (e.g., dye molecules) (see, e.g., Figure 2), The present invention is not limited to a particular method and/or technique for generating modular dendrimer nanoparticles and/or batches of modular dendrimer nanoparticles. In some embodiments, modular dendrimer nanoparticles having
precisenumbers of imaging agent conjugation ligands are isolated (e.g., through HPLC isolation techniques) prior to conjugation with imaging agents (e.g., so as to ensure the generation of a batch of modular dendrimer nanoparticl es having precise numbers of imaging agents conjugated to such imaging agent conjugation linkers). In some embodiments, the modular dendrimer nanoparticles are additionally complexed with an antibody conjugation ligand. In some embodiments, imaging agents (e.g., dyes) are conjugated to such modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands. Such techniques ensure that a particular batch of modular dendrimer nanoparticles has a precise number of imaging agents (e.g., dyes). In some embodiments, batches of such modular dendrimer nanoparticles having a precise number of imaging agents (e.g., dyes) are complexed with particular antibodies, thereby generating batches of antibodies labeled with precise numbers of imaging agents (e.g., dyes).
The modular dendrimer nanoparticles are not limited to utilizing a particular type of dendrimer nanoparticle. Dendrimeric polymers have been described extensively (see, e.g., Tomalia, Advanced Materials 6:529 (1994); Angew, Chem. Int. Ed. Engl, 29: 138 (1990)). Dendrimer polymers are synthesized as defined spherical structures typically ranging from 1 to 20 nanometers in diameter. Methods for manufacturing a G5 PAMAM dendrimer with a protected core are known (U.S. Patent App. No. 12/403,179). In preferred embodiments, the protected core diamine is NH2-CH2-CH2-NHPG. Molecular weight and the number of terminal groups increase exponentially as a function of generation (the number of layers) of the polymer. In some embodiments of the present invention, half generation PAMAM dendrimers are used. For example, when an ethylenediamine (EDA) core is used for dendrimer synthesis, alkylation of this core through Michael addition results in a half- generation molecule with ester terminal groups; amidation of such ester groups with excess EDA results in creation of a full-generation, amine-terminated dendrimer (Majoros et al, Eds. (2008) Dendrimer-based Nanomedicine, Pan Stanford Publishing Pte. Ltd., Singapore, p. 42), Different types of dendrimers can be synthesized based on the core structure that Initiates the polymerization process. In some embodiments, the PAMAM dendrimers are "Baker-Huang dendrimers" or "Baker-Huang PAMAM dendrimers" (see, e.g., U.S.
Provisional Patent Application Serial No. 61/251 ,244).
The dendritner core structures dictate several characteristics of the molecule such as the overall shape, density and surface functionality (See, e.g., Tomalia et al., Chem. Int. Ed. Engl., 29:5305 (1990)). Spherical dendrimers can have ammonia as a trivalent initiator core or ethylenediamine (EDA) as a tetravalent initiator core. Recently described rod-shaped dendrimers (See, e.g., Yin et al, J. Am. Chem. Soc, 120:2678 ( 1998)) use polyethyleneimine linear cores of varying lengths; the longer the core, the longer the rod. Dendritic
macromolecules are available commercially in kilogram quantities and are produced under current good manufacturing processes (GMP) for biotechnology applications.
Dendrimers may be characterized by a number of techniques including, but not limited to, eiectrospray-ionization mass spectroscopy, 1 C nuclear magnetic resonance spectroscopy, Ή nuclear magnetic resonance spectroscopy, size exclusion chromatography with mufti-angle laser light scattering, ultraviolet spectrophotometry, capillary
electrophoresis and gel electrophoresis. These tests assure the uniformity of the polymer population and are important for monitoring quality control of dendrimer manufacture for GMP applications and in vivo usage.
Numerous U.S. Patents describe methods and compositions for producing dendrimers. Examples of some of these patents are given below in order to pro vide a description of some dendrimer compositions that may be useful in the present invention, however it should be understood that these are merely illustrative examples and numerous other similar dendrimer compositions could be used in the present invention.
U.S. Pat. No. 4,507,466, U.S. Pat. No. 4,558,120, U.S. Pat. No. 4,568,737, and U.S. Pat. No. 4,587,329 each describe methods of making dense star polymers with terminal densities greater than conventional star polymers. These polymers have greater/more uniform reactivity than conventional star polymers, i.e. 3rd generation dense star polymers. These patents further describe the nature of the amidoamine dendrimers and the 3- dimensional molecular diameter of the dendrimers.
U.S. Pat. No. 4,631 ,337 describes hydrolytically stable polymers. U.S. Pat. No.
4,694,064 describes rod-shaped dendrimers. U.S. Pat. No. 4,713,975 describes dense star polymers and their use to characterize surfaces of viruses, bacteria and proteins including enzymes. Bridged dense star polymers are described in U.S. Pat. No. 4,737,550. U.S. Pat. No. 4,857,599 and U.S. Pat. No. 4,871,779 describe dense star polymers on immobilized cores useful as ion-exchange resins, chelation resins and methods of making such polymers.
U.S. Pat. No. 5,338,532 is directed to starburst conjugates of dendrimer(s) in association with at least one unit of carried agricultural, pharmaceutical or other material. This patent describes the use of dendrimers to provide means of delivery of high
concentrations of carried materials per unit polymer, controlled delivery, targeted delivery and/or multiple species such as e.g., drags antibiotics, general and specific toxins, metal ions, radionuclides, signal generators, antibodies, interieukins, hormones, interferons, viruses, viral fragments, pesticides, and antimicrobials.
U.S. Pat. No. 6,471,968 describes a dendrimer complex comprising covalently linked first and second dendrimers, with the first dendrimer comprising a first agent and the second dendrimer comprising a second agent, wherein the first dendrimer is different from the second dendrimer, and where the first agent is different than the second agent.
Other useful dendrimer type compositions are described in U.S. Pat. No. 5,387,617, U.S. Pat. No. 5,393,797, and U.S. Pat. No. 5,393,795 in which dense star polymers are modified by capping with a hydrophobic group capable of providing a hydrophobic outer shell, U.S. Pai. No. 5,527,524 discloses the use of amino terminated dendrimers in antibody conjugates.
PAMAM dendrimers are highly branched, narrowly dispersed synthetic
macromolecules with well-defined chemical structures. PAMAM dendrimers can be easily modified and conjugated with multiple functionalities such as targeting molecules, imaging agents, and drugs (Thomas et al. (2007) Poly(amidoamine) Dendrimer-based Multifunctional Nanoparticles, in Nanobiotechnolog : Concepts, Methods and Perspectives, Merkin, Ed., Wiley-VCH). They are water soluble, biocompatible, and cleared from the blood through the kidneys (Peer et al. (2007) Nat. Nanoteehnol. 2:751 -760) which eliminates the need for biodegradability. Because of these desirable properties, PAMAM dendrimers have been widely investigated for drug delivery (Esfand et al. (2001 ) Drug Discov. Today 6:427-436; Patri et al. (2002) Curr. Opin. Chem. Biol. 6:466-471 ; Kukowska-Lataiio et ai. (2005) Cancer Res. 65:5317-5324; Quintana et al. (2002) Pharmaceutical Res. 19: 1310-1316; Thomas et al. (2005) J. Med. Chem. 48:3729-3735), gene therapy (KukowskaLatal!o et al. (1996) PN.AS 93:4897-4902; Eichman et ai. (2000) Pharm. Sci. Technolo. Today 3:232-245; Luo et al. (2002) Macromoi. 35:3456-3462), and imaging applications (Kobayashi et ai. (2003) Bioconj. Chem. 14:388-394).
The use of dendrimers as metal ion carriers is described in U.S. Pat. No. 5,560,929. U.S. Pat. No. 5,773,527 discloses non-crosslinked polybranched polymers having a cornb- burst configuration and methods of making the same. U.S. Pat. No. 5,631,329 describes a process to produce polybranehed polymer of high molecular weight by forming a first set of branched polymers protected from branchmg; grafting to a core; deprotecting first set branched polymer, then forming a second set of branched polymers protected from branching and grafting to the core having the first set of branched polymers, etc.
U.S. Pat. No. 5,902,863 describes dendrimer networks containing lipophilic organosilicone and liydrophilic polyanicloamine nanscopic domains. The networks are prepared from copolydendrimer precursors having PAMAM (hydrophilic) or
polyproyleneimine inferiors and organosilicon outer layers. These dendrimers have a controllable size, shape and spatial distribution. They are hydrophobic dendrimers with an organosilicon outer layer that can be used for specialty membrane, protective coating, composites containing organic organometallie or inorganic additives, skin patch delivery, absorbants, chromatography personal care products and agricultural products,
U.S. Pat. No. 5,795,582. describes the use of dendrimers as adjuvants for influenza antigen. Use of the dendrimers produces antibody titer levels with reduced antigen dose. U.S. Pat. No. 5,898,005 and U.S, Pat. No, 5,861,319 describe specific imniunobinding assays for determining concentration of an anaiyte. U.S. Pat. No. 5,661,025 provides details of a self- assembling polynucleotide delivery system comprising dendrimer poiycation to aid in delivery of nucleotides to target site. This patent provides methods of introducing a polynucleotide into a eukaryotic cell in vitro comprising contacting the ceil with a composition comprising a polynucleotide and a dendrimer polyeation non-covalently coupled to the polynucleotide.
In some embodiments, the modular dendrimer nanoparticie comprises a PAMAM dendrimer.
The modular dendrimer nanoparticles are not limited to having particular types of imaging agent conjugation iigands. Examples of imaging agent conjugation ligands include, but are not limited to, alkene groups, thiol groups, dieneophile groups, and diene groups. In some embodiments, the imaging agent conjugation ligands are configured for attachment with attachment ligands complexed with imaging agents.
In some embodiments, the present invention is directed towards generating modular dendrimer nanoparticles with high structural uniformity (e.g., modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands) (e.g., modular dendrimer nanoparticles having precise numbers of imaging agents conjugated to imaging agent conjugation ligands). For example, in some embodiments, compositions of the present invention comprise ten or more modular dendrimer nanoparticles having imaging agent conjugation ligands wherein approximately 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 70-73%, 73-75%, 75-80%, 80-81%, 81-85%, 85- 90%, 90-97%, 99.99% or higher) of the modular dendrimer nanoparticles are structurally uniform (e.g., approximately 80% or more of the modular dendrimer nanoparticles have the same number of imaging agent conjugation ligands).
For example, the modular dendrimer nanoparticles are not limited to having a particular number of imaging agent conjugation ligands. In some embodiments, the modular dendrimer nanoparticles have between 1 and 128 imaging agent conjugation ligands. In some embodiments, the modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation ligands (e.g., 1 imaging agent conjugation ligand, 2 imaging agent conjugation ligands, 3 imaging agent conjugation ligands, 4 imaging agent conjugation ligands, 5 imaging agent conjugation ligands, 6 imaging agent conjugation ligands, 7 imaging agent conjugation ligands, 8 imaging agent conjugation ligands). Indeed, embodiments wherein the modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation ligands ensures that antibodies conjugated with two of such modular dendrimer nanoparticles (having conjugated imaging agents) will have between 2 and 16 imaging agents (e.g., between 1 and 8 for each modular dendrimer nanoparticle conjugated to each antibody). So as to ensure the generation of batches of modular dendrimer nanoparticles having precise numbers of imaging agent conjugation ligands, following attachment of such imaging agent conjugation ligands with dendrimer nanoparticles, isolation techniques are employed to segregate batches of dendrimer nanoparticles with precise numbers of imaging agent conjugation ligands.
The modular dendrimer nanoparticles of the present invention may be characterized for size and structural uniformity by any suitable analytical techniques. These include, but are not limited to, atomic force microscopy (AFM), electrospray-ionizatioii mass spectroscopy, MALDI-TOF mass spectroscopy, 13C nuclear magnetic resonance
spectroscopy, high performance liquid chromatography (HPLC), size exclusion
chromatography (SEC) (equipped with multi-angle laser light scattering, dual U V and refractive index detectors), gel permeation chromatography (GPC), capillary electrophoresis and get electrophoresis. These analytical methods assure the uniformity of the dendrimer population and are important in the quality control of dendrimer production for eventual use, for example, in in vivo applications. Moreover, studies with dendrimers have shown no evidence of toxicity when administered intravenously (Roberts et al., J. Biomed. Mater. Res., 30:53 (1996) and Bourne et al, J. Magnetic Resonance Imaging, 6:305 (1996)). In certain embodiments, methods of the present invention involve conjugation of imaging agent conjugation iigands to a dendrimer io yield a population of imaging agent conjugation ligand // dendrimers, which are then subjected to high performance liquid chromatography (e.g., HPLC) (e.g., reverse-phase HPLC) to yield subpopulations of imaging agent conjugation ligand // dendrimers (e.g., subpopulations of dendrimer molecules conjugated with particular numbers of imaging agent conjugation Iigands). The
chromatographic traces from ekstion of these subpopulations are analyzed, for example, using peak fitting analysis methods to identify subpopulation (e.g., subpopulations of dendrimer molecules conjugated with particular numbers of imaging agent conjugation Iigands).
For example, in some embodiments, methods of the present invention invol ve conjugation of at least one type of ligand to a dendrimer (e.g., conjugation of imaging agent conjugation iigands to a dendrimer) to yield a population of ligand-conjugated dendrimers, which are then subjected to re verse-phase HPLC to yield subpopulations of ligand- conjugated dendrimers. The chromatographic traces from elution of these subpopulations are analyzed, for example, using peak fitting analysis meihods to identify subpopulation (e.g., subsamples, eluate fractions) wherein the structural uniformity of ligand conjugates within each subpopulation (e.g., subsample, eluate fraction) is 80% or higher (e.g., 70-73%, 73-75%, 75-80%, 80-81 %, 81-85%, 85-90%, 90-97%, 99.99% or higher). Such methods are compatible with other analytical meihods for structural determination or molecular analysis, such analytical methods including but not limited to nuclear magnetic resonance (NMR) (e.g., ]H NMR), gel permeation chromatograph (GPC), mass spectrometry methods (MS) (e.g., MALDI-TOF-MS), and potentiometric titration.
Peak fitting analysis and distribution analysis are also compatible with mathematical modeling meihods. Such mathematical modeling methods may include application of a. two path kinetic model which allows for deviations from the Poisson distribution by varying the activation energy of the reaction a a function of n Iigands on the dendrimer, e.g.,
R„ = Axc Ba + nA2e Ea2m (equation 1)
n some embodiments, skewed-Poisson, Poisson, or Gaussian distribution models may be utilized to analyze dendrimer distributions.
The present invention is also directed towards products synthesized and/or prepared using methods of the present invention, e.g., by conjugation of at least one type of ligand (e.g, imaging agent conjugation Iigands) to a dendrimer to yield a population of ligand-conjugated dendrimers, which are then subjected to reverse-phase HPLC to yield subpopulations of ligand-conjugated dendrimers; and analyzing the chromatographic traces from elution of these subpopulations using peak fitting analysis methods to identify subpopulation (e.g., subsamples, eluate fractions) wherein the structural uniformity of ligand conjugates within each subpopulation (e.g., subsample, eluate fraction) is 70% or higher (e.g., approximately 60% or higher, 63% or higher, 65%, 68%, 70%, 73-75%, 75-80%, 80-81%, 81-85%, 85-90%, 90-97%, 99.99% or higher) (e.g., approximately 80% or more of the modular lendrimer nanoparticles have the same number of imaging agent conjugation ligands).
Such methods are compatible with other analytical methods for structural
determination or molecular analysis, such analytical methods including but not limited to nuclear magnetic resonance (NM ) (e.g., Ή NMR), gel permeation chromatograph (GPC), mass spectrometry methods (MS) (e.g., MALDI-TOF-MS), and potentiometric titration.
The modular dendrimer nanoparticles are not limited to conjugation with a particular type of imaging agent. Examples of imaging agents include, but are not limited to, molecular dyes, fluorescein isothiocyanate (Fl'T'C), 6-TAMARA, acridine orange, and cis-parinaric acid. In some embodiments, the imaging agents are moleculear dyes from the alexa fluor
(Molecular Probes) family of molecular dyes. For example, examples of imaging agents include, but are not limited to, Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Aiexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Aiexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocyanate (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant Violet™ 421, BD Horizon™ V450, Pacific Blue™, Ami van. phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon™ PE- CF594, PI, 7-AAD, allophycocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamme, TPJTC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FluorX™, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, aminocoumarin, 3-azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight© 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Atto 532, Atto Rho6G, Atto 550, Atto 565, Atto 590, Atto 594, Atto 633, Atto Rhol 1 , Atto Rhol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™35(), CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™62()R, CF™633, CF™640R, CF™647, CF™660, CF™660R, CF™680, CF™680R, CF™750, CF™770, and CF™790 .
In some embodiments, the imaging agent is a mass-spec label selected from the group consisting of 139La, 141Pr, 142Nd, 143Nd, I44 d, 145Nd, 146Nd, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 1528m, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, I60Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb,
In some embodiments, the imaging agents are conjugated with linkage agents.
Examples of such linkage agents include, but are not limited to, thiol groups, diene groups, dieneophile groups, and alkene groups. In some embodiments, the imaging agents are configured to facilitate attachment with imaging agent conjugation ligands (e.g., imaging agent conjugation ligands attached to modular dendrimer nanoparticies). For example, in some embodiments, the imaging agent linkage agent is a thiol group and the imaging agent conjugation ligand is an alkene group. In some embiments, the imaging agent linkage agent is an alkene group and the imaging agent conjugation ligand is a thiol group. I some embiments, the imaging agent linkage agent is a diene group and the imaging agent conjugation ligand is a dieneophile group. In some embiments, the imaging agent linkage agent is a dieneophile group and the imaging agent conjugation ligand is a diene group.
The modular dendrimer nanoparticies are not limited to conjugation with a particular type of antibody conjugation ligand. Examples of antibody conjugation ligands include, but are not limited to, cyclooctyne groups, fluorinated cyclooctyne groups, and alkyne groups. In some embodiments, the antibody conjugation ligand is any type of ligand that facilitates conjugation with another chemical group via click chemistry. The modular dendrimer nanoparticies are not limited to having a particular number of antibody conjugation ligands. In some embodiments, the modular dendrimer nanoparticies are conjugated with one antibody conjugation ligand.
In certain embodiments, the modular dendrimer nanoparticies having precise numbers of imaging agents are conjugated with antibodies. The present invention is not limited to a particular type of antibody. In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody.
Examples of antibodies include, but are not limited to, the following antibodies shown in Table I and Table 2 (with type, source, and target):
Table 1 Name Type Source Target
3F8 mab mouse GD2
8H9 mab mouse B7-H3
Abagovomab mab mouse C A- 125 (imitation)
Abciximab Fab chimeric CD41 (mtegrm alpha-lib)
Actoxumab mab human Clostridium difficile
Adalimumab mab human TNF-a
Adecatumumab mab human EpCAM
Afelimomab F(ab')2 mouse TNF-a
Afutuzumab mab humanized CD20
Alacizumab pegol F(ab')2 humanized VEGFR2
ALD518 ? humanized IL-6
Alemtuzumab mab humanized CD52
Alirocumab mab human NARP-1
Altumomab pentetate mab mouse CEA
Amatuximab mab chimeric MORAb-009
Anatumomab mafeiiatox Fab mouse TAG- 72
Anrukmzumab (= IMA-638) mab humanized IL-13
Apoiizumab mab humanized F1LA-DR ?
Arcitumomab Fab' mouse CEA
Aseiizumab mab humanized L-seleetm (CD62L)
Atinumab mab human RTN4
Atlizumab (= tociiizumab) mab humanized IL-6 receptor
Atorolimumab mab human Rhesus factor
Bapiiieuzumab mab humanized beta amyloid
Basiliximab mab chimeric CD25 (a chain of IL-2 receptor)
Bavituximab mab chimeric phosphatidy {serine
Bectumomab Fab' mouse CD22
Belimumab mab human BAFF
Benralizumab mab humanized CD 125
Bertilimumab mab human CCL1 1 (eotaxin-1 )
Besilesomab mab mouse CEA-reiated antigen
Bevacizumab mab humanized VEGF-A
Beziotoxumab mab human Clostridium difficile
Biciromab Fab' mouse fibrin II, beta, chain
Bivatuzumab m.ertansine mab humanized CD44 v6
Blinatumomab BiTE mouse CD 19
Blosozumab mab humanized SOST
Brentuximab vedotin mab chimeric CD30 (TNFRSF8)
Briakinumab mab human 1L-12, IL-23
Brodalumab mab human 1L-17 Name Type Source Target
Canakirsumab mab hitman IL-I?
Cantuzumab mertansine raab humanized mucin CanAg
Cantuzumab ravtaiisine mab humanized MUC1
Caplacizumab mab humanized VWF
Capromab pendetide mab mouse prostatic carcinoma cells
Carlumab mab human C T0888
Catumaxomab 3funct rat/mouse hybrid EpCAM, CD3
CC49 mab mouse TAG- 72
Cedelizumab mab humanized CD4
Certolizumab pegol Fab' humanized TNF-a
Cetuximab mab chimeric EGFR
Ch.14.18 mab chimeric ???
Citatuzumah bogatox Fab humanized EpCAM
Ci utumumab mab human IGF-1 receptor
Clazakizumab mab humanized Oryctol gus cimiciilus
Clenoiiximab mab chimeric CD4
Clivatuzumab tetraxetan mab humanized MUC1
Conatumumab mab human TRAIL-R2
CR6261 mab human Influenza A hemagglutinin
Crenezumab mab humanized MABT5102 A
Dacetuzumab mab humanized CD40
Daclizumab mab humanized CD25 (a chain of IL-2 receptor)
Dalotuzumab mab humanized insulin-like growth factor I receptor
Daratumumab mab human CD38 (cyclic ADP ribose hydrolase
Demcizumab mab humanized DLL4
Denosumah mab human RANKL
Detumomab mab mouse B-lympboma cell
Doriimomab aritox F(ab')2 mouse
Drozitumah mab human DR5
Duligotumab mab human HER3
Dupilumab mab human IL4
Dusigitumab mab human 1LGF2
Ecromeximab mab chimeric GD3 ganglioside
Eculizumab mab humanized C5
Edobacomab mab mouse endotoxin
Edrecolomab mab mouse EpCAM
Efalizumab mab humanized LFA-1 (CD 1 1a)
Efungumab scFv human Hsp90
Elotuzumab mab humanized SLAMF7
Elsilimomab mab mouse 1L-6 Name Type Source Target
Enavatuzumab mab humanized PDL192
Enlimomab pegol mab mouse IC.AM-1 (CD54)
Enokizumab mab humanized MEDI-528
Enoticumab mab human DLL4
Ensituximab mab chimeric NPC-1 C
Epitumomab cituxetan mab mouse episialin
Epratuzumab mab humanized CD22
Erlizumab F(ab')2 humanized ITGB2 (CD 18)
Ertumaxomab 3funct rat/mouse hybrid HER2/neu, CD3
Etaracizumab mab humanized integrin ανβ3
Etroiizumab mab humanized rhuMAb β7
Exbivirumab mab human hepatitis B surface antigen
Fanolesomab mab mouse CD 15
Faralimomab mab mouse interferon receptor
Farletuzumab mab humanized folate receptor 1
Fasinumab mab human FTNGF
FBTA05 3funct rat/mouse hybrid CD20
Feivizumab mab humanized respiratory syncytial virus
Fezakmumab mab human IL-22
Ficlatuzumab mab humanized SCH 900105
Figitumumab mab human IGF-1 receptor
Flanvotumab mab human glycoprotein 75
Fontolizumab mab humanized IFN-γ
Foralumab mab human CD3 epsilon
Foravirumab mab human rabies virus glycoprotein
FresoHmumab mab human TGF-β
Fulranumab mab human NGF
Futuximab mab chimeric EGFR
Galiximab mab chimeric CD80
Ganitumab mab human IGF-1
Gantenerumab mab human beta amyloid
Gavilimomab mab mouse CD 147 (basigin)
Gemtuzumab ozogamicin mab humanized CD33
Gevokizumab mab humanized IL-Ι β
Girentuximab mab chimeric carbonic anhydrase 9 (CA-IX)
Glembatumumab vedotin mab human GPNMB
Golimumab mab human TNF-a
Gomiliximab mab chimeric CD2.3 (IgE receptor)
GS6624 mab ?
lbalizumab mab humanized CD4 Name Type Source Target
Ibritumomab tiuxetan mab mouse CD20
Icrucumab raab human VEGFR-1
Igovomab F(ab')2 : mouse CA-125
Imciromab mab mouse cardiac myosin
lmgatuzumab mab humanized EGFR
lnclacumab mab human seiectin P
Indatuximab ravtansine mab chimeric SDC1
Infliximab mab chimeric TNF-a
lnoHmomab mab mouse CD25 (a chain of IL-2 receptor) lnotuzumah ozogamicin mab humanized CD22
Intetumumab mab human CD51
lpilimum b mab human CD 152
Iratumumab mab human CD30 (TNFRSF8)
Itolizumab mab humanized CD6
lxekizumab mab humanized IL-17A
Keiiximab mab chimeric CD4
Labetuzumab mab humanized C-EA
Lampaiizumab mab humanized CFD
Lebrikizumab mab humanized IL-13
Lemaiesomab mab mouse NCA-90 (granulocyte antigen)
Lerdelimum b mab human TGF beta 2
Lexatumumab mab human TRAIL-R2
Libivirumab mab human hepatitis 13 surface antigen
Ligelizumab mab humanized IGFTE
Lintuzumab mab humanized CD33
Lirilumab mab human K1R2D
Lorvotuzumab mertansine mab humanized CD56
Lucatumumab mab human CD40
Lumiliximab mab chimeric CD23 (IgE receptor)
Mapatumumab mab human TRAIL-Rl
Masiimomab ? mouse T-cell receptor
Matuzumab mab humanized EGFR
Mavrilimumab mab human CAM-3001
Mepolizumab mab humanized 1L-5
Metelimumab mab human TGF beta 1
Milatuzumab mab humanized CD74
Minretumomab mab mouse TAG-72
Mitumomab mab mouse GD3 ganglioside
Mogamulizumab mab humanized CCR4
Morolimumab mab human Rhesus factor Name Type Source Target
Moiavizumab mab humanized respiratory syncytial virus
Moxetumomab pasudotox mab mouse CD22
Muromonab-CD3 mab mouse CD3
Naeolomab tafenatox Fab mouse C242 antigen
Namilumab mab human CSF2
Naptumomab estafenatox Fab mouse 5T4
Namatumah mab human RON
Nataiizumab mab humanized integrin ou
Nebacumab mab human endotoxin
Necitumumab mab human EGFR
Nerelimomab mab mouse TNF-a
Nesvacumab mab human angiopoietin 2
Nimotuzumab mab humanized EGFR
Nivoiumab mab human lgG4
Nofetumomab merpentan Fab mouse
Oearatuzumah mab humanized CD20
Oerelizumab mab humanized CD20
Oduiimomab mab mouse LFA-1 (CD 1 1 a)
Ofatumumab m b human CD20
Olaratumab mab human PDGF-R a
Olokizumab mab humanized IL6
Omal zumab mab humanized igE Fc region
Onartuzumab mab humanized human scatter factor receptor kinase
Oportuzumab monatox scFv humanized EpCAM
Oregovomab mab mouse CA- 125
Ortieumab mab human oxLDL
Otelixizumab mab cbimeric bumanized CD3
O elumab mab human OX-40
Ozanezumab mab humanized OGO-A
Ozoraiizumab mab humanized Lama giama
Pagibaximab mab chimeric iipoteichoic acid
F protein of respiratory syncytial
Palivizumab mab humanized
vims
Panirumumab mab human EGFR
Panobaeumab mab human Pseudomonas aeruginosa
Parsatuzumab mab human EGFL7
Pascolizumab mab humanized II.-4
Pateclizumab mab humanized LTA
Patritumab mab human HER3
Pemiumomab mouse MUCl Name Type Source Target
Perakizumab mab humanized IL 17A
Pertuzumab mab humanized HER2/neu
Pexelizumab scFv humanized C5
Pid lizumab mab humanized PD- 1
Piiituraomab mab mouse adenocarcinoma antigen
Placuiumab mab human human TNF
Ponezumab mab humanized human beta-amyloid
Priliximab mab chimeric CD4
Pritumumab mab human vimentin
PRO 140 ? humanized CCR5
Qui!izumab mab humanized IGHE
Racotumomab mab mouse N-glycolytaeuramimc acid
Radretumab mab human fihronectm extra domain-B
Rafivirumab mab human rabies virus glycoprotein
Ramucinimab mab human VEGFR2
Rambizumab Fab humanized VEGF-A
Raxibacumab mab human anthrax toxin, protective antigen
Regavirumab mab human cytomegalovirus glycoprotein B
Reslizumab mab humanized IL-5
Rilotumumab mab human HGF
Rituximab mab chimeric CD20
Robatumumab mab human IGF- 1 receptor
Roiedumab mab human ! I D
Romosozumab mab humanized scleroscin
Rontahzumab mab humanized IFN-a
Rovelizumab mab humanized CD I i . CD 18
Ruplizumab mab humanized CD 154 (CD40L)
SamaHzumab mab humanized CD200
Sarilumab mab human IL6
Satumomab pendetide mab mouse TAG- 72
Secukinumab mab human IL- 17A
Sevirumab ? human cytomegalovirus
Sibrotuzumab mab humanized FAP
Sifalimumab mab humanized IFN-a
Siltuximab mab chimeric 1L-6
Simtuzumab mab humanized LOXL2
Siplizumab mab humanized CD2
Sirukumab mab human 1L-6
Solanezumab mab humanized beta amyloid
Solitomab mab mouse EPCAM Name Type Source Target
Sonepcizumab 9 humanized sphingosine- 1 -phosphate
Sontuzumab mab humanized episialin
Stamulumab mab human myostatin
Sulesomab Fab' mouse NCA-90 (granulocyte antigen)
Suvizumab mab humanized HIV-1
Tabalumab mab human BAFF
Tacatuzumab tetraxetaii mab humanized alpha- fetoprotein
Tadocizumab Fab humanized integrin <¾¾β3
Talizumab mab humanized IgE
Tanezumab mab humanized NGF
Tapiitumomab paptox mab mouse CD 19
Tefibazuniab mab humanized clumping factor A
Teliniomab aritox Fab mouse
Tenatumomab mab mouse tenasciii C
Teneliximab mab chimeric CD40
Tepiizumab mab humanized CD3
Teprotumumab mab human CD221
TGN1412 ? humanized CD28
Ticilimumab (=
mab human CTLA-4
tremelimumab)
Tigatuzumab mab humanized TRA1L-R2
Tildrakizumab mab humanized IL23
TNX-650 9 humanized 1L-13
Tocilizumab (= atlizumab) mab humanized IL-6 receptor
Toralizumab mab humanized CD 154 (CD40L)
Tositumomab 9 mouse CD20
Tralokinumab mab human T1..-13
Trastuzumab mab humanized HER2/neu
TRBS07 3funct 9 GD2
Tregalizumab mab humanized CD4
Tremelimumab mab human CTLA-4
Tucotuzumab celmoleukin mab humanized EpCAM
Tuvirumab 9 human hepatitis B virus
L!blituximab mab chimeric MS4A1
L!relumab0 mab human 4- IBB
Ortoxazumab mab humanized Escherichia coli
Ostekinumab mab human IL-12, I! · .: .·■
Vapaliximab mab chimeric AOC3 (VAP- 1 )
Vatelizumab mab humanized ITGA2
Vedolizumab mab humanized integrin α4β7 Name Type Source Target
Veltuzumab mab humanized CD20
Vepalimomab mab mouse AOC3 (VAP- 1)
Vesencumab mab human NRPl
Visilizumab mab humanized CD3
Volociximab mab chimeric integrm cxspi
Vorsetuzumab mafodotin mab humanized cancer
Votumumab mab human tumor antigen CTAA16.88
Zalutumumab mab human EGFR
Zanolimumab mab human CD4
Zatuximab mab chimeric HER!
Ziralimumab mab human CD 147 (basigin)
Zolimomab aritox mab mouse CD5
(mab: whole monoclonal antibody) (Fab: fragment, antigen -binding (one arm) (F(ab')2: fragment, antigen-binding, including hinge region (both arms)) (Fab1: fragment, antigen- binding, including hinge region (one arm)) (scFv: single-chain variable fragment) (di-scFv: dimeric single-chain variable fragment) (sdAb: single-domain antibody) (3funet: tnfunctionai antibody) (BiTE: bi-specific T-cell engager)
Ta le 2:
Figure imgf000034_0001
Mouse anti-Bovine Ig mab Mouse
Secondary Antibody
(BIG 10- 123.1)
Mouse anti-Bovine Ig mab mouse
Secondary Antibody
(BIG 10- 137,4)
Rabbit anti-Bovine mab Rabbit
IgG/lgM/IgA
Secondary Antibody
Mouse anti-Canine Ig Mouse
Secondary Antibody
(DIG1 1-124.1)
Mouse anti-Canine Ig Mouse
Secondar Antibody
(DIG12-223.3)
Rabbit anti-Chicken Polyclonal Rabbit Chicken IgY (H+L) IgY (H+L) Secondaiy
Antibody
Goat anti-Chicken Polyclonal Goat Chicken Ig Y IgY Secondary
Antibody
Mouse anti-Chicken mab Mouse Chicken Ig Ig Secondary
Antibody (CIG 10- 196.101)
Goat anti-Chicken polyclonal Goat Chicken IgG (H+L) IgG, H&L chains
Secondary Antibody
Mouse anti-Chicken Mab Mouse Chicken IgG IgG Secondary
Antibody (409-3.1)
Mouse anti-Chicken mab Mouse Chicken
IgG/IgM/lgA IgG/IgM/lgA Secondary Antibody
(408-6.1)
Mouse anti-Chicken mab Mouse Chicken IgM IgM Secondary
Antibody (408-5.1)
Goat anti-Chicken Polyclonal Goat Chicken IgY
IgY Secondary
Antibody
Donkey anti-Chicken Polyclonal Donkey Chicken Ig Y
IgY Secondary
Antibody
Goat anti-Chicken Polyclonal Goat Chicken IgY Fab
IgY, Fab Secondary
Antibody
Bovine anti-Chicken Polyclonal Bovine Chicken IgY
TgY Secondary
Antibody
Goat anti -Donkey Polyclonal Goat Donkey IgG IgG Secondary
Antibody
Rabbit anti-Donkey Polyclonal Rabbit Donkey IgG, H&L
IgG, H&L chains chains
Secondar Antibody
Mouse anti-Feline Ig Mab Mouse Feline Ig
Secondary Antibody
(FIG 10- 102.8)
Mouse anti-Feline Ig mab Mouse Feline Ig
Secondary Antibody
(FIG 10- 1 18.1)
Mouse anti-Feline Ig mab Mouse Feline Ig
Secondary Antibody
(FIG 1 1-207.2)
Goat anti-Feline IgG Polyclonal Goat Feline Ig
Secondary Antibody Rabbit anti-Goat IgG Polyclonal Rabbit Goat IgG, H&L (H+L) Secondary chains
Antibody
Mouse anti-Goat IgG Polyclonal Mouse Goat IgG, H&L (H+L) Cross chains
Adsorbed Secondary
Antibody
F(ab')2 -Rabbit anti- Poly Rabbit Goat IgG, H&L Goat IgG (H+L) chains
Cross Adsorbed
Secondar Antibody
Rabbit anti-Goat IgG Poly- Rabbit Goat IgG, Fc (Fc) Secondary- Antibody
Donkey anti-Goat Poly Donkey- Goat IgG
IgG Secondary
Antibody
Mouse anti-Goat lg Mab Mouse Goat lg
Secondary Antibody
(GIG 10-1 15.25)
Mouse anti-Guinea mab Mouse Guinea pig IgG pig IgG Secondary
Antibody (MsGp3)
Rabbit anti-Guinea Poly Rabbit Guinea pig IgG Pig IgG Secondary- Antibody
Goat anti-Guinea Pig Poly- Goat Guinea pig IgG IgG Secondary
Antibody
Goat anti-Hamster poly Goat Hamster IgG, H&L IgG (H+L ) chains
Secondary Antibody-
Rabbit anti-Hamster Poly- Rabbit Hamster IgG, H&L IgG, H&L chains chains Secondary Antibody
Goai anti-Human Poly- Goai Human IgG Gamma
Gamma Chain Chain
Secondary Antibody
Goat anti-Human IgG Poly Goat Human IgG, H&L i l l ] . ! Cross Chains
Adsorbed Secondary
Antibody
Goat anti-Human Poly Goat Human IgG F(ab' )2 IgG F(ab')2
Secondary Antibody
Goat anti-Human Poly Goat Human IgM IgM Secondary
Antibody
Goat anti-Human IgG poly Goat Human IgG
Cross Adsorbed
Secondary Antibody
Goat anti-Human IgA Poly Goat Human IgA, IgG,
+ IgG + IgM (H+L) IgM, H&L chains
Secondary Antibody
Goat anti-Human Poly Goat Human IgG Kappa
Kappa Chain Chain
Secondary Antibody
Goat anti- Human IgG Poly- Goat Human IgG
Cross Adsorbed
Secondary Antibody
Mouse anti-Human Poly Mouse Human IgG H&L
IgG (H+L) Cross chains
Adsorbed Secondary
Antibody
Goat anti-Human Poly Goat Human IgA IgA (a) Secondary
Antibody
Rabbit ant -Human Poly Rabbit Human IgG Fc
IgG (Fc) Secondary Antibody
Rabbit anti-Human Poly- Rabbit Human IgG H&L IgG i l l I . ! chains
Secondary Antibody
F(ab')2-Goat anti- Poly Goat Human IgG, Fc- Human IgG (FC- gamma gamma) Secondary
Antibody
F(ab')2-Goat anti- Poly Goat Human IgG H&L
Human IgG (H- L) chains
Secondary Antibody
Duck ami-Human Poly Duck Human IgG IgG Secondary
Aiitibody
Mouse anti-Human Mono Mouse Human IgM
IgM Secondary
Antibody (13 Al l)
Mouse anti-Human Mono Mouse Human IgA
IgA. Secondary
Antibody (47C 12)
Mouse anti-IgG (Fc) Mono Mouse Human IgG Fc
Secondary Antibody
(EM-07)
Mouse anti-Human Mono Mouse Human IgG3, hinge
IgG3, hinge region region
Secondary Antibody
(HP6050)
Mouse anti-Human Mono Mouse Human IgGI
IgGI Secondary
Antibody (2C1 1)
Mouse anti-Human Mono Mouse Human IgG2
IgG2, Fab Secondary
Antibody (HP6014)
Mouse anti-Human Ig Mono Mouse Human Ig Light
Light chain Chain
Secondary Antibody (7A9)
Mouse anti-Human Mono Mouse Human Ig Kappa LC
Ig, kappa LC
Secondary Antibody
(2B7)
Mouse anti-Human Mono Mouse Human IgE
IgE Secondary
Antibody (BL-E9)
Mouse anti-Human Mono Mouse Human IgG4 IgG4 Secondary
Antibody (BL-G4/I)
Mouse anti-Human Mono Mouse Human IgA HC
IgA, HC Secondary
Antibody (Mc24-
2E1 1 )
Mouse anti-Human Mono Mouse Human and
IgG4 Secondary Chimpanzee IgG4
Antibody (HP6025)
Mouse anti-Human Mono Mouse Human IgG 1 Fc
IgGl, Fc Secondary-
Antibody (8c/6-39
(HP6091 ))
Mouse anti-Human Mono Mouse Human IgG Fc
IgG, Fc Secondary
Antibody (8A4)
Mouse anti-Human Mono Mouse Human IgE
IgE Secondary
Antibody (E41 1
(5H2))
Mouse anti-Human Mono Mouse Human IgG 1 Fc
IgGl, Fc Secondary-
Antibody (2C1 1)
Mouse anti-Human Mono Mouse Human IgG2
IgG2 Secondary Antibody (3C7)
Mouse anti-Human Mono Mouse Human lgG3
IgG3 Secondary
Antibody (5G12)
Mouse anti-Human Mono Mouse Human IgG Ci 13
IgG CH3 domain domain
Secondary Antibody
(A57H)
Mouse anti-Human Mono Mouse Human IgGl Fc
TgGl, Fc Secondary
Antibody (8c/6-39)
Rat anti-Human Mono Rat Human IgG2a
IgG2a Secondary-
Antibody (LO-DNP--
16)
Mouse anti-Human Mono Mouse Human IgD IgD Secondary
Antibody (IgD26)
Mouse ami-Human Mono Mouse Human IgA alpha-
IgA (alpha-Heavy heavy chain
Chain) Secondary
Antibody (GA01)
Mouse anti-human Mono Mouse Human IgG IgG Secondary
Antibody
(4D2D9G8)
Goat anti-Human Poly Goat Human IgG Fc
TgG, Fc Secondary
Antibody
Rabbit anti-Human Poly Rabbit Human IgA alpha-
IgA (alpha-Heavy Heavy Chain
Chain) Secondary-
Antibody
Rabbit anti-Human Poly- Rabbit Human IgE epsilon-
IgE (epsilon-Heavy Heavy Chain Chain) Secondary
Antibody
Rabbit anti -Human Poly Rabbit Human IgD delta- IgD (delta-Heavy Heavy Chain Chain) Secondary
Antibody
Sheep anti-Human Poly Sheep Human IgA
IgA. Secondary
Antibody
Chicken anti-Human Poly Chicken Human IgE
IgE Secondary- Antibody
Chicken anti-Human Poly- Chicken Human IgA
IgA Secondary
Antibody
Mouse anti-Human Ig Mono Mouse Human Ig
Secondary Antibody
(HIG 1 0- 101.1.19)
Mouse anti-Human Mono Mouse Human IgG lambda- IgG, lambda LC LC
Secondary Antibody
(ICO- 106)
Mouse anti-Human Mono Mouse Human Ig kappa LC Ig, kappa LC
Secondary Antibody
(MEM-09)
Mouse a ti-Human Mono Mouse Human Ig lambda Ig, lambda LC LC
Secondary Antibody
(Rs4)
Mouse anti-Human Mono Mouse Human IgG Fab'2 IgG, Fab'2 Secondary
Antibody (4A1 1 ) Mouse anti-Human. Mono Mouse Human IgM IgG, Fab'2 Secondary
Antibody (4A1 1 )
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (M.A2)
Mouse anti-Human Mono Mouse Human IgA TgA. Secondary
Antibody (AD3)
Mouse anti-Human Mono Mouse Human IgE TgE Secondary
Antibody (BE5)
Mouse anti-Human Mono Mouse Human IgE IgE Secondary
Antibody (4G7)
Mouse anti-Human Mono Mouse Human IgE IgE Secondary
Antibody (4H 1 0)
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (2A6)
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (MA2)
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (ICL-931 )
Mouse anti-Human Mono Mouse Human IgG IgG Secondary
Antibody (EFE-565)
Mouse anti-Human Mono Mouse Human IgE IgE Secondary
Antibody ( H25/1 )
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (ΜΉ15- Γ)
Goat anti-Human IgG Poly Goat Human IgG Secondary Antibody
Goat anti-Human Poly Goat Human IgG/igM/IgA IgG/igM/IgA
Secondary Antibody
Rabbit anti-Human Poly Rabbit Human IgM IgM Secondary
Antibody
Rabbit anti -Human Poly Rabbit Human IgG Fc IgG, Fc gamma gamma
Secondary Antibody
Chicken anti-Human Poly Chicken Human IgG IgG Secondary
Antibody
Chicken anti-Human Poly Chicken Human IgG Fc IgG, Fc Secondary
Antibody
Chicken anti-Human Poly- Chicken Human IgM IgM Secondary
Antibody
Mouse anti-Human Mono Mouse Human IgA IgA Secondar
Antibody (KT13)
Mouse anti-Human Mono Mouse Human IgM IgM Secondary
Antibody (KT16)
Bovine anti-Human Poly Bovine Human IgG IgG Secondary
Antibody
Rabbit anti-Equine Poly Rabbit Horse IgG/igM/IgA
Ig / igiV gA
Secondary Antibody Mouse anti-Monkey Mono Mouse Monkey IgG IgG Secondary
Antibody (5C12.D4)
Mouse anti-Monkey Mono Mouse Monkey IgG IgG Secondary
Antibody (4D8.B 10)
Goat anti-Monkey Poly Goat Monkey IgG H&L IgG, H&L chains chains
Secondary Antibody
Figure imgf000045_0001
Figure imgf000046_0001
Figure imgf000047_0001
Figure imgf000048_0001
Secon ary Antbo y
Figure imgf000049_0001
Definition of Terms: Poly - polyclonal; Mono - monoclonal; H - heavy; L - light
In some embodiments, the antibodies recognize, for example, tumor-specific epitopes (e.g., TAG-72 (See, e.g., Kjeidsen et al, C-ancer Res. 48:2214-2220 (1988); U.S. Pat Nos. 5,892,020; 5,892,019; and 5,512,443): human carcinoma antigen (See, e.g., U.S. Pat. Nos. 5,693,763; 5,545,530; and 5,808,005); TP1 and TPS antigens from osteocarcinoma cells (See, e.g., U.S. Pat. No. 5,855,866); Thomsen-Friedenreicli (TF) antigen from adenocarcinoma cells (See, e.g., U.S. Pat. No. 5, 1 10,91 1 ); "KC-4 antigen" from human prostrate
adenocarcinoma (See, e.g., U.S. Pat. Nos. 4,708,930 and 4,743,543); a human colorectal cancer antigen (See, e.g. , U.S. Pat No. 4,92.1 ,789); CA125 antigen from cystadenocarcinoma (See, e.g., U.S. Pat. No. 4,921,790); DF3 antigen from human breast carcinoma (See, e.g., U.S. Pat. Nos. 4,963,484 and 5,053,489); a human breast tumor antigen (See, e.g., U.S. Pat No. 4,939,240); p97 antigen of human melanoma (See, e.g., U.S. Pat. No. 4,918, 164);
carcinoma or orosomucoid-related antigen (CORA)( See, e.g., U.S. Pat. No. 4,914,021); a human pulmonary carcinoma antigen that reacts with human squamous ceil lung carcinoma but not with human small ceil lung carcinoma (See, e.g., U.S. Pat. No. 4,892,935); T and Tn haptens in glycoproteins of human breast carcinoma (See, e.g., Springer et al, Carbohydr. Res. 178:271 -292 (1988)), MSA breast carcinoma glycoprotein termed (See, e.g., Tjandra et al, Br. J. Surg. 75:81 1 -817 (1988)); MFGM breast carcinoma antigen (See, e.g., Ishida et al, Tumor Biol. 10: 12-22 ( 1989)); DU-PAN-2 pancreatic carcinoma antigen (See, e.g., Lan et at, Cancer Res. 45:305-310 (1985)); CA125 ovarian carcinoma antigen (See, e.g., Hanisch et al, Carbohydr. Res. 178:29-47 ( 1988)); YH206 lung carcinoma antigen (See, e.g., Hinoda et al, (1988) Cancer J. 42:653-658 (1988)).
Various procedures known, in the art are used for the production of polyclonal antibodies. I7 or the production of antibody, various host animals can be immunized by injection with the peptide corresponding to the desired epitope including but not limited to rabbits, mice, rats, sheep, goats, etc. In a preferred embodiment, the peptide is conjugated to an immunogenic carrier (e.g., diphtheria toxoid, bovine serum albumin (BSA), or keyhole limpet hemocyanin (KLH)). Various adjuvants are used to increase the immunological response, depending on the host species, including but not limited to Freund's (complete and incomplete), mineral gels such as aluminum hydroxide, surface active substances such as lyso!ecithin, pksronic polyols, po!yanions, peptides, oil emulsions, keyhole limpet hemoeyanins, dinitroplienol, and potentially useful human adjuvants such as BCG (Bacille Calrnerte-G erin) and Corynebacterium parvum.
For preparation of monoclonal antibodies, any technique that provides for the production of antibody molecules by continuous cell lines in culture may be used (See e.g., Harlow and Lane, Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.). These include, but are not limited to, the hybridoma technique originally developed by Kohler and Milstein (Kohler and Milstein, Nature 256:495-497 (1975)), as well as the trioma technique, the human B-cell hybridoma technique (See e.g., Kozbor et al. Immunol. Today 4:72 (1983)), and the EBV-hybridoma technique to produce human monoclonal antibodies (Cole et al., in Monoclonal Antibodies and Cancer Therapy, Alan R, Liss, Inc., pp. 77-96 (1985)).
In an additional embodiment of the invention, monoclonal antibodies can be produced in germ-free animals utilizing recent technology (See e.g., PCT/US90/02545). According to the invention, human antibodies may be used and can be obtained by using human hybridomas (Cote et al., Proc. Natl. Acad. Sci. U.S.A.80:2026-2030 (1983)) or by transforming human B cells with EBV virus in viiro (Cole et al., in Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, pp. 77-96 (1985)),
According to the invention, techniques described for the production of single chain antibodies (see, e.g., U.S. Pat. No. 4,946,778) can be adapted to produce specific single chain antibodies. An additional embodiment of the invention utilizes the techniques described for the construction of Fab expression libraries (Huse et al., Science 246: 1275-1281 (1989)) to allow rapid and easy identification of monoclonal Fab fragments with the desired specificity.
Antibody fragments that contain the idiotype (antigen binding region) of the antibody molecule can be generated by known techniques. For example, such fragments include but are not limited to: the F(ab')2 fragment that can be produced by pepsin digestion of the antibody molecule; the Fab' fragments that can be generated by reducing the disulfide bridges of the F(ab')2 fragment, and the Fab fragments that can be generated by treating the antibody molecule with papain and a reducing agent.
In the production of antibodies, screening for the desired antibody can be
accomplished by techniques kno n in the art (e.g., radioimmunoassay, ELISA (enzyme- linked immunosorbant assay), "sandwich" immunoassays, immunoradiometrie assays, gel diffusion precipitin reactions, immunodiffusion assays, in situ immunoassays (using colloidal gold, enzyme or radioisotope labels, for example), Western Blots, precipitation reactions, agglutination assays (e.g., gel agglutination assays, hemagglutination assays, etc.), complement fixation assays, immunofluorescence assays, protein A assays, and
Immunoelectrophoresis assays, etc.).
The modular dendrimer nanoparticies having precise numbers of imaging agents are not limited to a particular manner of conjugation with an antibody. In some embodiments, the antibodies are configured to conjugate with a modular dendrimer nanoparticle having an antibody conjugation ligand. For example, in some embodiments, the antibody is configured to conjugate with a modular dendrimer nanoparticle via a linkage with the antibody conjugation ligand. The present invention is not limited to a particular configuration of the antibody which facilitates such a conjugation with modular dendrimer nanoparticle having an antibody conjugation ligand. In some embodiments, a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand is introduced to one of the two carboxyiic acid groups at the c- termini of the antibody Fc region. In some embodiments, the antibody Fc region is modified such that one or more of the e-iermini have thereon a dendrimer conjugation ligand. In some embodiments, the antibody Fc region is modified such that both of the c-termini have thereon a dendrimer conjugation ligand. in some embodiments, the antibody Fc region is modified such one or more of the carboxyiic groups at the c-termini are modified into dendrimer conjugation ligands. In some
embodiments, the antibody Fc region is modified such that both of the carboxyiic groups at the c-termini are modified into dendrimer conjugation ligands. The present invention is not limited to a particular type or kind of dendrimer conjugation ligand. In some embodiments, the dendrimer conjugation ligand is configured to facilitate conjugation with a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand.
In some embodiments, the dendrimer conjugation ligand is configured to facilitate conjugation with a modular dendrimer nanoparticle having precise numbers of imaging agents and an antibody conjugation ligand through use of click chemistry (e.g., a 1,3-dipolar cvcloaddition reaction). Click chemistry involves, for example, the coupling of two different moieties (e.g., a therapeutic agent and a functional group) (e.g., a first functional group and a second functional group) (e.g., a dendrimer conjugation ligand and an antibody conjugation ligand) via a 1,3-dipolar cycloaddition reaction between an alkyne moiety (or equivalent thereof) on the surface of the first moeity and an azide moiety (or equivalent thereof) (or any active end group such as, for example, a primary amine end group, a hydroxyl end group, a carboxylic acid end group, a thiol end group, etc) on the second moiety. Click chemistry is an attractive coupling method because, for example, it can be performed with a wide variety of solvent conditions including aqueous environments. For example, the stable triazole ring that results from coupling the alkyne with the azide is frequently achieved at quantitative yields and is considered to be biologically inert (see, e.g., Rostovtsev, V. V.; et al.,
Angewandte Chemie-lnternational Edition 2002, 41 , (14), 2596; Wu, P.; et al., Angewandte Chemie international Edition 2004, 43, (30), 3928-3932). As examples of antibody conjugation iigands include, but are not limited to, alkyne groups (e.g., cyclooctyne, fiuorinated cyclooctyne, alkyne), in some embodiments, the dendrimer conjugation ligand is an azide group (e.g., for purposes of facilitating a 1 ,3-dipolar cycloaddition reaction between the dendrimer conjugation ligand and the antibody conjugation ligand). As such, in some embodiments, the antibody Fc region is modified such that both of the carboxylic groups at the c-termini are modified into azide groups.
The present invention is not limited to a having a particular number of modular dendrimer nanoparticles having precise numbers of imaging agents conjugated with an antibody. In some embodiments, one modular dendrimer nanoparticle having precise numbers of imaging agents is conjugated with an antibody. In some embodiments, two modular dendrimer nanoparticles having precise numbers of imaging agents are conjugated with an antibody. In some embodiments, one modular dendrimer nanoparticles having precise numbers of imaging agents is conjugated with an antibody at one antibody Fc region. In some embodiments, two modular dendrimer nanoparticles having precise numbers of imaging agents are conjugated with an antibody at each antibody Fc region. Indeed, embodiments wherein the modular dendrimer nanoparticles have between 1 and 8 imaging agent conjugation Iigands ensures that antibodies conjugated with two of such modular dendrimer nanoparticles (having conjugated imaging agents) will have between 2 and 16 imaging agents (e.g., between 1 and 8 for each modular dendrimer nanoparticle conjugated to each antibody).
In certain embodiments, the present invention provides methods for imaging different antigens having varying abudnace quantities in a manner wherein the detected imaging agent intensity is equated. For example, in some embodiments, different types of antigens have differing levels of in vivo or in vitro abundance. In such embodmiments, antibodies directed to the higher abundance antigen are configured to be conjugated with modular dendrimer nanoparticles having fewer imaging agents (e.g., 2 imaging agents) than modular dendrimer nanoparticles conjugated with antibodies directed to the lower abundance antigen (e.g., 16 imaging agents). Such embodiments permit the equating of imaging agent intensity for antigens regardless of the abundance levels of such antigens.
Antibodies conjugated with modular dendrimer nanoparticies having precise numbers of imaging agents represent a significant improvement within imaging application. For example, by controlling both the number and position of imaging agents loaded to an antibody, antibodies conjugated with such modular dendrimer nanodevices achieve higher consistency and reliability than currently available reagents, and lead to more consistent and reliable results in biological experiments. Furthermore, because antibodies conjugated with such modular dendrimer nanodevices offer a range of a number of imaging agents per antibody (e.g., 2-16 imaging agents), researchers have the ability to balance the fluorescence levels of different targets in multi-dye experiments, even when very "dim" antibody targets such as CD 19 or CD26L are involved. This superior loading range additionally improves sensitivity, a feature that is especially important for low abundance biomolecules. In addition, the quantitative labeling of antibody reagents permits subtle but reproducible differences in target quantities to be detected, for example, for morphogen gradients. In addition, the ease of use and reliability of the labeling process with modular dendrimer nanopariicles enables a significant number of researchers to consistently label primary antibodies with the dye and dye number of their choice, and to eliminate dependence on secondar '- antibodies.
For clinical applications the consistency and reliability of reagents is paramount, and antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents greatly reduces the risk of incorrect diagnoses as the result of reagent variability. In addition, some clinical assays, such as those for AIDS, require multi-time point measurements and thus multiple lots of the antibody reagent; these inter-batch measurements are more reliable with antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents, due to batch-to-batch consistency. Finally, because of the high dye loadings and increased sensitivity with antibodies conjugated with such modular dendrimer nanodevices ha ving precise numbers of imaging agents, earlier detection of diseases and pre-disease states is facilitated, leading to improved treatment outcomes.
Antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents provide additional benefits through increased efficiency in the manufacturing process, as every antibody can be labeled using the same method. For example, even if reagent manufacturers only used antibodies conjugated with such modular dendrimer nanode vices having precise numbers of imaging agents to replace current repertoire of labeled antibodies, antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents permits the accomplishment more easily and with fewer resources, in addition, due to the modularity of the antibodies conjugated with such modular dendrimer nanodevices having precise numbers of imaging agents with respect to both imaging agents and number of imaging agents, manufacturers have the option to easily conjugate any of a wide range of dyes - in different defined quantities - using the same universal reaction scheme.
In some embodiments, the modular dendrimer nanoparticles comprise additional functional agents (e.g., targeting agents, therapeutic agents, trigger agents, and additional imaging agents). The present invention is not limited to particular method for conjugating modular dendrimer nanoparticles with additional functional agents (see, e.g., U.S. Patent Nos. 6,471,968, 7,078,461; U.S. Patent Application Serial Nos. 09/940,243, 10/431,682,
1 1,503,742, 1 1,661,465, 1 1/523,509, 12/403, 179, 12/106,876, 1 1/827,637, 10/039,393, 10/254,126, 09/867,924, 12/570,977, and 12/645,081 ; U.S. Provisional Patent Application Serial Nos.61/256,699, 61/226,993, 61/140,480, 61/091,608, 61/097,780, 61/101,461, 61/251,244, 60/604,321, 60/690,652, 60/707,991, 60/208,728, 60/718,448, 61/035,949, 60/830,237, and 60/925,181 ; and International Patent Application Nos. PCT/US2010/051835, PCT7US2010/050893; PCT/US2010/042556, PCT/US2001/015204, PCT/US2005/030278, PCT/US2009/069257, PCT/US2009/036992, PCT/US2009/059071 , PCT/US2007/015976, and PCT/US2008/061023).
In some embodiments, conjugation between a modular dendrimer nanoparticle (e.g., a terminal arm of a dendrimer) and an additional functional ligand is accomplished during a "one -pot" reaction. The term "one-pot synthesis reaction" or equivalents thereof, e.g., "1 - pot", "one pot", etc., refers to a chemical synthesis method in which all reactants are present in a single vessel. Reactants may be added simultaneously or sequentially, with no limitation as to the duration of time elapsing between introduction of sequentially added reactants. In some embodiments, a one-pot reaction occurs wherein a hydroxy!- terminated dendrimer (e.g., HO-PAMAM dendrimer) is reacted with one or more functional ligands (e.g., a therapeutic agent, a pro-drag, a trigger agent, a targeting agent, an imaging agent) in one vessel, such conjugation being facilitated by ester coupling agents (e.g., 2-ehloro- 1 -methylpyridinium iodide and 4-(diniethyiamino) pyridine) (see, e.g., U.S. Provisional Patent App. No.
61/226,993).
In some embodiments, conjugation between a modular dendrimer nanoparticle (e.g., a terminal arm of a dendrimer) and an additional functional ligand is accomplished via a 1,3- dipolar cycloaddition reaction ("click chemistry"). Click chemistry involves, for example, the coupling of two different moieties (e.g., a therapeutic agent and a functional group) (e.g., a first functional group and a second functional group) via a 1 ,3-dipolar cycloaddition reaction between an alkyne moiety (or equivalent thereof) on the surface of the first moeity and an azide moiety (or equivalent thereof) (or any active end group such as, for example, a primary amine end group, a hydroxyl end group, a carboxylie acid end group, a thiol end group, etc.) on the second moiety. Click chemistry is an attractive coupling method because, for example, it can be performed with a wide variety of solvent conditions including aqueous environments. For example, the stable triazole ring that results from coupling the alkyne with the azide is frequently achieved at quantitative yields and is considered to be biologically inert (see, e.g., Rostovtsev, V. V.; et a!., Angewandte Chemie-Tnternational Edition 2002, 41, (14), 2596; Wu, P.; et al., Angewandte Chemie-International Edition 2004, 43, (30), 3928- 3932).
In some embodiments, the additional functional group(s) is attached with the modular dendrimer nanoparticle via a linker. The present invention is not limited to a particular type or kind of linker. In some embodiments, the linker comprises a spacer comprising between 1 and 8 straight or branched carbon chains. In some embodiments, the straight or branched carbon chains are unsubstituted. in some embodiments, the straight or branched carbon chains are substituted with alky Is.
In some embodiments, the additional functional agent is a therapeutic agent. A wide range of therapeutic agents find use with the present invention. In some embodiments, the therapeutic agents are effective in treating autoimmune disorders and/or inflammatory disorders (e.g., arthritis). Examples of such therapeutic agenis include, but are not limited to, disease-modifying antirheumatic drags (e.g., leflunomide, methotrexate, sulfasalazine, hydroxychloroquine), biologic agents (e.g., rituximab, infliximab, etanercept, adalimumab, golimumab), nonsteroidal anti-inflammatory drags (e.g., ibuprofen, ceiecoxib, ketoprofen, naproxen, piroxicam, diclofenac), analgesics (e.g., acetaminophen, tramadol),
immunomodulators (e.g., anakinra, abatacept), and glucocorticoids (e.g., prednisone, methylprednisone), TNF-a inhibitors (e.g., adalimumab, certolizumab pegol, etanercept, golimumab, infliximab), IL-1 inhibitors, and metalloprotease inhibitors. In some
embodiments, the therapeutic agents include, but are not limited to, infliximab, adalimumab, etanercept, parenteral gold or oral gold.
In some embodiments, the therapeutic agent is an agent configured for treating rheumatoid artiiritis. Examples of agenis configured for treating rheumatoid arthritis include. but are not limited to, disease-modifying antirheumatic drugs (e.g., leflunomide,
methotrexate, sulfasalazine, hydroxychloroquine), biologic agents (e.g., rituximab, infliximab, etanercept, adalimumab, golimumab), nonsteroidal anti- inflammatory drags (e.g., ibuprofen, celecoxib, ketoprofen, naproxen, piroxicam, diclofenac), analgesics (e.g., acetaminophen, tramadol), immunomodulators (e.g., anakinra, abatacept), and
glucocorticoids (e.g., prednisone, meihyiprednisone).
In some embodim ents, the thereapeutic agent is a pain relief agent. Examples of pain relief agents include, but are not limited to, analgesic drugs and respective antagonists.
Examples of analgesic drugs include, but are not limited to, paracetamol and Non-steroidal anti-inflammatory drags ( SAIDs), COX-2 inhibitors, opiates and morphonimimetics, and specific analgesic agents.
In some embodiments, the therapeutic agent includes, but is not limited to, a chemotherapeutic agent, an anti-oncogenic agent, an anti -angiogenic agent, a tumor suppressor agent, and/or an anti- icrobial agent, although the present invention is not limited by the nature of the therapeutic agent.
In some embodiments, the chemotherapeutic agent is selected from a group consisting of, but not limited to, platinum complex, verapamil, podophylitoxin, carboplatin, procarbazine, mechloroethamine, cyclophosphamide, camptothecin, ifosfamide, melphalan, chlorambucil, btsulfan, nitrosurea, adriamycin, dactinomycin, daunorubicin, doxorubicin, bleomycin, plicomycin, mitomycin, bleomycin, etoposide, tamoxifen, paclitaxel, taxol, transpiatinum, 5-fluorouracil, vincristin, vinblastin, bispbosphonate (e.g., CB3717), chemotherapeutic agents with high affinity for folic acid receptors, ALIMTA (Eli Lilly), and methotrexate.
Examples of anti-angiogenic agents include, but not limited to, Batimastat,
Marimastat, AG3340, Neovastat, PEX, ΤΊΜΡ- 1 , -2, -3, -4, PAI- 1 , -2, uPA Ab, uPAR Ab, Amiloride , Minocycline, tetracyclines, steroids, cartilage-derived TIMP, ανβ3 Ab : LM609 and Vitaxin, RGD containing peptides, ανβ5 Ab, Endostatin, Angiostatin, aaAT, IFN-a, IFN-y , IL-12, nitric oxide synthase inhibitors, TSP-1 , TNP-470, Combretastatin A4, Thalidomide, Linomide, IFN-a , PF-4, prolactin fragment, Suramin and analogues, PPS, distamycin A analogues, FGF-2 Ab, antisense-FGF-2, Protamine, SU54 I 6, soluble Fit- 1 , dominant-negative Flk- l , VEGF receptor ribosymes, VEGF Ab , Aspirin, NS-398, 6- AT, 6A5BU, 7-DX, Genistein, Lavendustin A, Ang-2, batimastat, marimastat, anti-av[}3 monoclonal antibody (LM609) thrombospondin- 1 (TSP- 1 ) Angiostatin, endostatin, TNP-470, Combretastatin A-4, Anti-VEGF antibodies, soluble Flk- i , Fit- i receptors, inhibitors of tyrosine kinase receptors, SU5416, heparin-b hiding growth factors, pentosan polysulfate, platelet-derived endothelial cell growth factor/Thyniidine phosphorylase (PD-ECGF/ TP), cox (e.g., cox-1 an cox-2) inhibitors (e.g., Celebrex and Vioxx), DT385 , Tissue inhibitor of metalloprotease (TIMP-1, ΤΓΜΡ-2), Zinc, Plasminogen activator-inhibitor- 1 (PAI-1), p53 Rb, Interleukin- 10 Interieukin- 12, Angiopoietin-2, Angiotensin, Angiotensin II (AT2 receptor), Caveolin-1 , caveolin-2, Angiopoietin-2, Angiotensin, Angiotensin II (AT2 receptor), Caveolin-1, caveolin-2, Endostatin, Interferon-aipha, Isoflavones, Platelet factor-4, Prolactin (16 Kd fragment), Thi mbospondm, Troponin- 1, Bay 12-9566, AG3340, CGS 27023 A, CGS 27023 A, CGL-3, (Neovastat), BMS-275291, Penicillamine, TNP-470 (fumagillin derivative), Squalamine, Combretastatin, Endostatin, Penicillamine, Farnesyl Transferase Inhibitor (FTI), -L-778,123, -SCH66336, -R 1 15777, anti-VEGF antibody, Thalidomide, SU5416, Ribozyme, Angiozyme, SU6668, PTK787/ZK22584, Interferon-aipha, Interferon-aipha, Suramin, Vitaxin, EMD121974, Penicillamine, Tetrathiomolybdate, Captopril, serine protease inhibitors, CAI, ABT-627, CM101/ZDO101 , Interleukin- 12, IM862, PNU-145156E, those described in U.S. Patent App. No. 20050123605, and fragments or portions of the above that retain anti-angiogenic (e.g., angiostatic or inhibitory properties).
In some embodiments of the present invention, a dendrimer conjugate comprises one or more agents that directly cross-link nucleic acids (e.g., DNA) to facilitate DNA damage leading to, for example, synergistic, antineoplastic agents of the present invention. Agents such as cisplatin, and other DNA alkylating agents may be used. Cisplatin has been widely used to treat cancer, with efficacious doses used in clinical applications of 20 mg/M2 for 5 days every three weeks for a total of three courses. The dendrimers may be delivered via any suitable method, including, but not limited to, injection intravenously, subcutaneously, intratumorally, intraperitoneally, or topically (e.g., to mucosal surfaces).
Agents that damage DNA also include compounds that interfere with DNA replication, mitosis and chromosomal segregation. Such chemotherapeutic compounds include adriamycin, also known as doxorubicin, etoposide, verapamil, podophyllotoxin, and the like. Widely used in a clinical setting for the treatment of neoplasms, these compounds are administered through bolus injections intravenously at doses ranging from 25-75 Mg/M2 at 21 day intervals for adriamycin, to 35-50 Mg M2 for etoposide intravenously or double the intravenous dose orally.
Agents that disrupt the synthesis and fidelity of nucleic acid precursors and subunits also lead to DNA damage and find use as chemotherapeutic agents in the present invention. A number of nucleic acid precursors have been developed. Particularly useful are agents that have undergone extensive testing and are readily available. As such, agents such as 5- fluorouracil (5-FU) are preferentially used by neoplastic tissue, making this agent particularly useful for targeting to neoplastic cells. The doses delivered may range from 3 to 15 mg/kg/day, although other doses may vary considerably according to various factors including stage of disease, amenability of the ceils to ihe therapy , amouni of resistance to ihe agents and the like.
Photodynamic therapeutic agents may also be used as therapeutic agents in the present invention. In some embodiments, the dendrimer conjugates of the present invention containing photodynamic compounds are illuminated, resulting in the production of singlet oxygen and free radicals that diffuse out of the fiberless radiative effector to act on the biological target (e.g., tumor cells or bacterial cells).
Other photodynamic compounds useful in the present invention include those that cause cytotoxity by a different mechanism than singlet oxygen production (e.g., copper benzochlorin, Selman, et al., Photochem. PhotobioL, 57:681 -85 (1993). Examples of photodynamic compounds that find use in the present invention include, but are not limited io Photofrin 2, phtalocyanins (See e.g., Brasseur et al., Photochem. PhotobioL, 47:705- 1 1 (1988)), benzoporphyrin, tetrahydroxyphenylporphyrins, naphtalocyanines (See e.g., Firey and Rodgers, Photochem. PhotobioL, 45:535-38 ( 1987)), sapphyrins (See, e.g., Sessler et al., Proc. SPIE, 1426:318-29 (1991)), porphinones (See, e.g., Chang et al., Proc. SPIE, 1203:281 - 86 (1990)), tin etiopurpurin, ether substituted porphyrins (See, e.g., Pandey et al., Photochem. PhotobioL, 53:65-72 (1991)), and cationic dyes such as the phenoxazines (See e.g., Cincotta et al., SPIE Proc, 1203:202-10 (1990)).
In some embodiments, the therapeutic complexes of the present invention comprise a photodynamic compound and a targeting agent that is administred to a patient. In some embodiments, the targeting agent is then allowed a period of time to bind the "target" cell (e.g. about 1 minute to 24 hours) resulting in the formation of a target cell-target agent complex. In some embodiments, the therapeutic complexes comprising the targeting agent and photodynamic compound are then illuminated (e.g., with a red laser, incandescent lamp, X-rays, or filtered sunlight). In some embodiments, the light is aimed at the jugular vein or some other superficial blood or lymphatic vessel. In some embodiments, the singlet oxygen and free radicals diffuse from the photodynamic compound to the target cell (e.g. cancer cell or pathogen) causing its destruction. In some embodiments, the therapeutic agent is conjugated to a trigger agent. The present invention is not limited to particular types or kinds of trigger agents.
In some embodiments, sustained release (e.g., slow release over a period of 24-48 hours) of the therapeutic agent is accomplished through conjugating the therapeutic agent (e.g., directly) (e.g., indirectly through one or more additional functional groups) to a trigger agent that slowly degrades in a biological system (e.g., amide linkage, ester linkage, ether linkage). In some embodiments, consti utively active release of the therapeutic agent is accomplished through conjugating the therapeutic agent to a trigger agent that renders the therapeutic agent constitutively active in a biological system (e.g., amide linkage, ether linkage).
In some embodiments, release of the therapeutic agent under specific conditions is accomplished through conjugating the therapeutic agent (e.g., directly) (e.g., indirectly through one or more additional functional groups) to a trigger agent that degrades under such specific conditions (e.g., through activation of a trigger molecule under specific conditions that leads to release of the therapeutic agent). For example, once a conjugate (e.g., a therapeutic agent conjugated with a trigger agent and a targeting agent) arrives at a target site in a subject (e.g., a tumor, or a site of inflammation), components in the target site (e.g., a tumor associated factor, or an inflammatory or pain associated factor) interact with the trigger agent thereby initiating cleavage of the therapeutic agent from the trigger agent. In some embodiments, the trigger agent is configured to degrade (e.g., release the therapeutic agent) upon exposure to a tumor-associated factor (e.g., hypoxia and pH, an enzyme (e.g., glucuronidase and/or plasmin), a cathepsin, a matrix metalioproteinase, a hormone receptor (e.g., mtegrin receptor, hyaluronic acid receptor, luteinizing hormone-releasing hormone receptor, etc.), cancer and/or tumor specific DMA sequence), an inflammatory associated factor (e.g., chemokme, cytokine, etc.) or other moiety.
In some embodiments, the present invention provides a therapeutic agent conjugated with a trigger agent that is sensitive to (e.g., is cleaved by) hypoxia (e.g., indolequinone). Hypoxia is a feature of several disease states, including cancer, inflammation and rheumatoid arthritis, as well as an indicator of respiratory depression (e.g., resulting from analgesic drugs).
Advances in the chemistry of bioreductive drug activation have led to the design of various hypoxia-selective drug delivery systems in which the pharmacophores of drugs are masked by reductively cleaved groups. In some embodiments, the trigger agent is utilizes a quinone, N- oxide and/or (hetero)aromatic nitro groups. For example, a quinone present in a conjugate is reduced to phenol under hypoxia conditions, with spontaneous formation of lactone that serves as a driving force for drug release. In some embodiments, a
heteroaromatic nitro compound present in a conjugate (e.g., a therapeutic agent conjugated (e.g., directly or indirectly) with a trigger agent) is reduced to either an amine or a hydroxy lamine, thereby triggering the spontaneous release of a therapeutic agent. In some embodiments, the trigger agent degrades upon detection of reduced 02 concentrations (e.g., through use of a redox linker).
The concept of pro-drug systems in which the pharmacophores of drugs are masked by reductiveiy cieavable groups has been widely explored by many research groups and pharmaceutical companies (see, e.g., Beali, H.D., et al., J ournal of Medicinal Chemistry, 1998. 41(24): p. 4755-4766; Ferrer, S., D.P. Naughton, and M.D. Threadgill, Tetrahedron, 2003. 59(19): p. 3445-3454; aylor, M.A., et al, Journal of Medicinal Chemistry, 1997. 40( 15): p. 2335-2346; Phillips, R.M., et al, Journal of Medicinal Chemistry, 1999. 42(20): p. 4071-4080; Zhang, I ".., et al, Organic & Biomolecular Chemistry, 2005. 3(10): p. 1905- 1910). Several such hypoxia activated pro-drugs have been advanced to clinical
investigations, and work in relevant oxygen concentrations to prevent cerebral damage. The present invention is not limited to particular hypoxia-activated trigger agents. In some embodiments, the hypoxia-activated trigger agents include, but are not limited to, indolequinones, nitroimidazoles, and mtroheterocycles (see, e.g., Damen, E.W.P., et al., Bioorganic & Medicinal Chemistry, 2002. 10(1): p. 71-77; Hay, M.P., et al., Journal of
Medicinal Chemistry, 2003. 46(25): p. 5533-5545; Hay, M.P., et al., Journal of the Chemical Society-Perkin Transactions 1, 1999( 19): p. 2759-2770).
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a tumor-associated enzyme. For example, in some embodiments, the trigger agent that is sensitive to (e.g., is cleaved by) and/or associates with a glucuronidase.
Glucuronic acid can be attached to several anticancer drugs via various linkers. These anticancer drugs include, but are not limited to, doxorubicin, paciitaxel, docetaxei, 5- fluorouracil, 9-aminocamtothecin, as well as other drags under development. These prodrugs are generally stable at physiological pH and are significantly less toxic than the parent drugs.
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with brain enzymes. For example, trigger agents such as indolequinone are reduced by brain enzymes such as, for example, diaphorase (DT-diaphorase) (see, e.g., Damen, E.W.P., et al, Bioorganic & Medicinal Chemistry, 2002. 10( 1): p. 71-77), For example, in such embodiments, the antagonist is only active when released during hypoxia to prevent respiratory failure.
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a protease. The present invention is not limited to any particular protease. In some embodiments, the protease is a cathepsin. In some embodiments, a trigger comprises a Lys-Phe-PABC moiety (e.g., that acts as a trigger). In some embodiments, a Lys-Phe-PABC moiety linked to doxorubicin, mitomycin C, and paclitaxel are utilized as a trigger- therapeutic conjugate in a conjugated dendrimer provided herein (e.g., that serve as substrates for lysosomal cathepsin B or other proteases expressed (e.g., overexpressed) in tumor cells). In some embodiments, utilization of a 1 ,6-elimination spacer/linker is utilized (e.g., to permit release of therapeutic drag post activation of trigger).
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with plasmin. The serine protease plasmin is over expressed in many human tumor tissues. Tripeptide specifiers (e.g., including, but not limited to, Val-Leu-Lys) have been identified and iinlied to anticancer dntgs through elimination or cyclization linkers.
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or associates with a matrix metailoprotease (MMP). In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or that associates with β-Lactamase (e.g., a β-Lactamase activated cephalosporin-based pro-drug).
In some embodiments, the trigger agent is sensitive to (e.g., is cleaved by) and/or activated by a receptor (e.g., expressed on a target ceil (e.g., a tumor cell)).
In some embodiments, the trigger agent that is sensitive to (e.g., is cleaved by) and/or activated by a nucleic acid. Nucleic acid triggered catalytic drug release can be utilized in the design of chemotherapeutic agents. Thus, in some embodiments, disease specific nucleic acid sequence is utilized as a drug releasing enzyme-like catalyst (e.g., via complex formation with a complimentary catalyst-bearing nucleic acid and/or analog). In some embodiments, the release of a therapeutic agent is facilitated by the therapeutic component being attached to a labile protecting group, such as, for example, eispiaiin or methotrexate being attached to a photolabile protecting group that becomes released by laser light directed at cells emitting a color of fluorescence (e.g., in addition to and/or in place of target activated activation of a trigger component of a conjugated dendrimer of the present invention. In some
embodiments, the therapeutic device also may have a component to monitor the response of the tumor to therapy. For example, where a therapeutic agent of the dendrimer induces apoptosis of a target cell (e.g., a cancer cell (e.g., a prostate cancer cell)), the caspase activity of the cells may be used to activate a green fluorescence. This allows apoptotic cells to turn orange, (combination of red and green) while residual cells remain red. Any normal cells that are induced to undergo apoptosis in collateral damage fluoresce green,
In some embodiments, in addition to antibodies, the modular dendrimer nanoparticles further comprise a targeting agent. For example, in some embodiments, a number of different expressed cell surface receptors find use as targets for the binding and uptake of a dendrimer conjugate. Such receptors include, but are not limited to, EGF receptor, folate receptor, FGR receptor 2, and the like.
FA has a high affinity for the folate receptor which is overexpressed in many epithelial cancer cells, including breast, ovary, endometrium, kidney, lung, head and neck, brain, and myeloid cancers (Weitman et al. ( 1992) Cancer Res. 52:6708-671 i ; Campbell et al. (1991) Cancer Res. 51 :5329-5338; Weitman et al. ( 1992) Cancer Res. 73:2432-2443; Ross et al. (1994) Cancer 73:2432.-2443), and is internalized into cells after ligand binding (Antony et al. (1985) J. Biol. Chem. 260:491 1-4917). Tumor-selective targeting has been achieved by FA-conjugated liposomes encapsulting an antineoplastic drug (Lee et al. ( 1995)
Bioochem. Biophys. Acta-Biomembran.es 1233 : 134-144) or an antisense olignucleotides (Wang et al. (1995) PNAS 92:3318-3322), FA-conjugated protein toxin (Leamon et ai. (1994) J. Drug Targeting 2:101-1 12), and FA-derivatized antibodies or their Fab/scFv fragments binding to the T-cell receptor (Rund et al. (1999) Intl. J. Caner 83: 141■ 149). In vivo studies have shown that the administration of multivalent, folate-targeted dendrimer- methotrexate conjugates resulted in significantly lower toxicity and a ten-fold enhancement in efficacy compared to free methotrexate at an equal cumulative dose (see, e.g., Kukowska- Latallo et al. (2005) Cancer Res. 65:5317-5324; Hong et al. (2007) Chem. & Biol 14: 107- 1 15).
In some embodiments of the present invention, changes in gene expression associated with chromosomal abborations are the signature component. For example, Burkitt lymphoma results from chromosome translocations that involve the Myc gene. A chromosome translocation means that a chromosome is broken, which allows it to associate with parts of other chromosomes. The classic chromosome translocation in Burkitt lymophoma involves chromosome 8, the site of the Myc gene. This changes the pattern of Myc expression, thereby disrupting its usual function in controlling cell growth and proliferation.
In other embodiments, gene expression associated with colon cancer are identified as the signature component. Two key genes are known to be involved in colon cancer: MSH2 on chromosome 2 and MLHl on chromosome 3. Normally, the protein products of these genes help to repair mistakes made in DNA replication. If the MSH2 and MLHl proteins are mutated, the mistakes in replication remain unrepaired, leading to damaged DNA and colon cancer. MEN1 gene, involved in multiple endocrine neoplasia, as been known for several years to be found on chromosome 1 1 , was more finely mapped in 1997, and serves as a signature for such cancers. In preferred embodiments of the present invention, an antibody specific for the altered protein or for the expressed gene to be detected is complexed with nanodevices of the present invention.
In yet another embodiment, adenocarcinoma of the colon has defined expression of CEA and mutated p53, both well-documented tumor signatures. The mutations of p53 in some of these cell lines are similar to that observed in some of the breast cancer cells and allows for the sharing of a p53 sensing component between the two nanodevices for each of these cancers (i.e., in assembling (he nanodevice, dendrimers comprising the same signature identifying agent may be used for each cancer type). Both colon and breast cancer cells may be reliably studied using cell lines to produce tumors in nude mice, allowing for optimization and characterization in animals.
From the discussion above it is clear that there are many different tumor signatures that find use with the present invention, some of which are specific to a particular type of cancer and others which are promiscuous in their origin. The present invention is not limited to any particular tumor signature or any other disease-specific signature. For example, tumor suppressors that find use as signatures in the present invention include, but are not limited to, p53, Mud, CEA, i 6, p21 , p27, CCAM, RB, APC, DCC, NF-1 , NF-2, WT-i, MEN- 1 , MEN- II, p73, VHL, FCC and MCC.
In some embodiments, targeting agents are conjugated to the therapeutic agents for delivery of the dendrimer to desired body regions (e.g., to the central nervous system (CNS); to a tissue region associated with an inflammatory disorder and'Or an autoimmune disorder (e.g., arthritis)). The targeting agents are not limited to targeting specific body regions.
In some embodiments, the targeting agent is a moiety that has affinity for a tumor associated factor. For example, a number of targeting agents are contemplated to be useful in the present invention including, but not limited to, ROD sequences, low-density lipoprotein sequences, a NAALADase inhibitor, epidermal growth factor, and other agents that bind with specificity to a target cell (e.g., a cancer cell)).
The present invention is not limited to cancer and/or tumor targeting agents. Indeed, conjugated dendrimers of the present invention can be targeted (e.g., via a linker conjugated to the dendrimer wherein the linker comprises a targeting agent) to a variety of target cells or tissues (e.g., to a biologically relevant environment) via conjugation to an appropriate targeting agent. For example, in some embodiments, the targeting agent is a moiety that has affinity for an inflammatory factor (e.g., a cytokine or a cytokine receptor moiety (e.g., TNF- a receptor)). In some embodiments, the targeting agent is a sugar, peptide, antibody or antibody fragment, hormone, hormone receptor, or the like.
In some embodiments of the present invention, the targeting agent includes but is not limited to an antibody, receptor ligand, hormone, vitamin, and antigen; however, the present invention is not limited by the nature of the targeting agent. In some embodiments, the antibody is specific for a disease- specific antigen. In some embodiments, the disease-specific antigen comprises a tumor-specific antigen. In some embodiments, the receptor ligand includes, but is not limited to, a ligand for CFTR, EGFR, estrogen receptor, FGR2, folate receptor, IL-2 receptor, glycoprotein, and VEGFR. In some embodiments, the receptor ligand is folic acid.
In some embodiments of the present invention, targeting groups are conjugated to dendrimers and/or linkers conjugated to the dendrimers with either short (e.g., direct coupling), medium (e.g. using small-molecule bifunctional linkers such as SPDP, sold by PIERCE CHEMICAL Company), or long (e.g., PEG bifunctional linkers, sold by EKTA.R, Inc.) linkages. Since dendrimers have surfaces with a large number of functional groups, more than one targeting group and/or linker may be attached to each dendrimer. As a result, multiple binding events may occur between the dendrimer conjugate and the target ceil. In these embodiments, the dendrimer conjugates have a very high affinity for their target ceils via this "cooperative binding" or polyvalent interaction effect. In preferred embodiments, at least two different ligand types are attached to the dendiimer, with or without linkers. In particularly preferred embodiments, the two different iigands are attached to the dendrimer through ester bonds.
For steric reasons, in some embodiments, the smaller the Iigands, the more can be attached to the surface of a dendrimer and/or linkers attached thereto. Recently, Wiener reported that dendrimers with attached folic acid would specifically accumulate on the surface and within tumor cells expressing the high-affinity folate receptor (hFR) (See, e.g., Wiener et al., Invest. Radiol., 32:748 ( 1997)). The hFR receptor is expressed or upregulated on epithelial tumors, including breast cancers. Control cells lacking hFR showed no significant accumulation of folate-derivatized dendrimers. Folic acid can be attached to full generation PAMAM dendrimers via a carbodiimide coupling reaction. Folic acid is a good targeting candidate for the dendrimers, with its small size and a simple conjugation procedure.
In some embodiments, the targeting agents target the central nervous system (CNS). In some embodiments, where the targeting agent is specific for the CNS, the targeting agent is transferrin (see, e.g., Daniels, T.R., et ai, Clinical Immunology, 2006. 121(2): p. 159-176; Daniels, T.R., et ai., Clinical Immunology, 2006. 121(2): p. 144-158). Transferrin has been utilized as a targeting vector to transport, for example, drugs, liposomes and proteins across the blood-brain barrier (BBB) by receptor mediated transeytosis (see, e.g., Smith, M.W. and M. Gumbleton, Journal of Drug Targeting, 2.006. 14(4): p. 191 -214). In some embodiments, the targeting agents target neurons within the central nervous system (CNS). In some embodiments, where the targeting agent is specific for neurons within the CNS, the targeting agent is a synthetic tetanus toxin fragment (e.g., a 12 amino acid peptide (Tet 1)
(HLNILSTLWKYR)) (SEQ ID NO: 2) (see, e.g., Liu, J.K., et ai, Neurobiology of Disease, 2005. 19(3): p. 407-418).
In some embodiments of the present invention, additional imaging is based on the passive or active observation of local differences in density of selected physical properties of the investigated complex matter. These differences may be due to a different shape (e.g., mass density detected by atomic force microscopy), altered composition (e.g. radiopaques detected by X-ray), distinct light emission (e.g., fluorochromes detected by
spectrophotometry), different diffraction (e.g., electron-beam detected by ΊΈΜ), contrasted absorption (e.g., light detected by optical methods), or special radiation emission (e.g., isotope methods), etc. Thus, quality and sensitiv ity of imaging depend on the property observed and on the technique used. The imaging techniques for cancerous cells have to provide sufficient levels of sensitivity to allow observation of small, focal concentrations of selected cells. The earliest identification of cancer signatures requires high selectivity (i.e., highly specific recognition provided by appropriate targeting) and the highest possible sensitivity.
Dendrimers have already been employed as biomedical imaging agents, perhaps most notably for magnetic resonance imaging (MR!) contrast enhancement agents (See e.g., Wiener et al., Mag. Reson. Med. 31 : 1 (1994); an example using PAMAM dendrimers). These agents are typically constructed by conjugating chelated paramagnetic ions, such as Gd(IiI)-diethylenetriammepeniaacetic acid (Gd(III)-DTPA), to water-soluble dendrimers. Other paramagnetic ions that may be useful in this context include, but are not limited to, gadolinium, manganese, copper, chromium, iron, cobalt, erbium, nickel, europium, iechnetium, indium, samarium, dysprosium, ruthenium, ytterbium, yttrium, and holmium ions and combinations thereof. In some embodiments of the present invention, a dendrimer conjugate is also conjugated to a targeting group, such as epidermal growth factor (EOF), to make the conjugate specifically bind to the desired cell type (e.g., in the case of EGF, EGFR- expressing tumor cells). In a preferred embodiment of the present invention, DTPA is attached to dendrimers via the isothiocyanate of DTPA as described by Wiener (Wiener et a!., Mag. Reson. Med. 31 : 1 ( 1994)).
Dendrimeric MRI agents are particularly effective due to the polyvalency, size and architecture of dendrimers, which results in molecules with large proton relaxation enhancements, high molecular relaxivity, and a high effective concentration of paramagnetic ions at the target site. Dendrimeric gadolinium contrast agents have even been used to differentiate between benign and malignant breast tumors using dynamic MRJ, based on how the vasculature for the latter type of tumor images more densely (Adam et al., Ivest. Rad. 31 :26 ( 1996)). Thus, MRI provides a particularly useful imaging system of the present invention.
Some modular dendrimer nanoparticles of the present invention allow functional microscopic imaging of tumors and provide improved methods for imaging. The methods find use in vivo, in vitro, and ex vivo. For example, in one embodiment of the present in v ention, modular dendrimer nanoparticles of the present invention are designed to emit light or other detectable signals upon exposure to light. Although the labeled modular dendrimer nanoparticles may be physically smaller than the optical resolution limit of the microscopy technique, they become self-luminous objects when excited and are readily observable and measurable using optical techniques. In some embodiments of the present invention, sensing fluorescent biosensors in a microscope involves the use of tunable excitation and emission filters and multiwavelength sources (See, e.g., Farkas et al., SPEI 2678:200 (1997)). In embodiments where the imaging agents are present in deeper tissue, longer wavelengths in the Near-infrared (NMR) are used (See e.g., Lester et al., Cell MoJ. Biol. 44:29 (1998)), Dendrimeric b osensing in the Near-IR has been demonstrated with dendrimeric biosensing antenna-like architectures (See, e.g., Shortreed et al., J. Phys. Chem., 101 :6318 (1997)). Biosensors that find use with the present invention include, but are not limited to, fluorescent dyes and molecular beacons.
In some embodiments of the presen t invention, in vivo imaging is accomplished using functional imaging techniques. Functional imaging is a complementary and potentially more powerful technique as compared to static structural imaging. Functional imaging is best known for its application at the macroscopic scale, with examples including functional Magnetic Resonance Imaging (fMRl) and Positron Emission Tomography (PET). However, functional microscopic imaging may also be conducted and find use in in vivo and ex vivo analysis of living tissue. Functional microscopic imaging is an efficient combination of 3-D imaging, 3-D spatial multispectral volumetric assignment, and temporal sampling: in short a type of 3-D spectral microscopic movie loop. Interestingly, cells and tissues autofluoresce. When excited by several wavelengths, providing much of the basic 3-D structure needed to characterize several cellular components (e.g., the nucleus) without specific labeling.
Oblique light illumination is also useful to collect structural information and is used routinely. As opposed to structural spectral microimaging, functional spectral microimaging may be used with biosensors, which act to localize physiologic signals within the cell or tissue. For example, in some embodiments of the present invention, biosensor- comprising dendrimers of the present invention are used to image upregulated receptor families such as the folate or EGF classes. In such embodiments, functional biosensing therefore involves the detection of physiological abnormalities relevant to carcinogenesis or malignancy, even at early stages. A number of physiological conditions may be imaged using the compositions and methods of the present invention including, but not limited to, detection of nanoscopic dendrimeric biosensors for pH, oxygen concentration, Cai concentration, and other physiologically relevant analytes.
In some embodiments, the present invention provides modular dendrimer nanoparticles having a biological monitormg component. The biological monitoring or sensing component of a dendrimer is one that can monitor the particular response in a target cell (e.g., tumor cell) induced by an agent (e.g., a therapeutic agent provided by a conjugated dendrimer). While the present invention is not limited to any particular monitormg system, the invention is illustrated by methods and compositions for monitoring cancer treatments. In preferred embodiments of the present invention, the agent induces apoptosis in cells and monitoring involves the detection of apoptosis. in some embodiments, the monitormg component is an agent that fluoresces at a particular wavelength when apoptosis occurs. For example, in a preferred embodiment, caspase activity activates green fluorescence in the monitoring component. Apoptotic cancer cells, which have turned red as a result of being targeted by a particular signature with a red label, turn orange while residual cancer cells remain red. Normal cells induced to undergo apoptosis (e.g., through collateral damage), if present, will fluoresce green. In these embodiments, fluorescent groups such as fluorescein are employed in the imaging agent. Fluorescein is easily atiached to the dendrimer surface via the isoihiocvanate derivatives, available from MOLECULAR PROBES, Inc. This allows the modular dendrimer nanoparticle to be imaged with the cells via confocal microscopy. Sensing of the effectiveness of modular dendrimer nanoparticle or components thereof is preferably achieved by using fluorogenic peptide enzyme substrates. For example, apopiosis caused by the therapeutic agent results in the production of the peptidase caspase-1 (ICE).
CALBIOCHEM sells a number of peptide substrates for this enzyme that release a fluorescent moiety , A particularly useful peptide for use in the present invention is:
MCA-Tyr-Glu-Va{-Asp-Gly-Trp-Lys-(DNP)-NH2 (SEQ ID NO: 1 ) where MCA is the (7- methoxycoumarin-4-y3)acetyl and DNP is the 2,4-dinitrophenyl group (See, e.g., Talanian et al., J. Biol Chem., 272: 9677 ( 1997)). In this peptide, the MCA group has greatly attenuated fluorescence, due to fluorogenic resonance energy transfer (FRET) to the DNP group. When the enzyme cleaves the peptide between the aspartic acid and glycine residues, the MCA and DNP are separated, and the MCA group strongly fluoresces green (excitation maximum at 325 nm and emission maximum at 392 nm). In some embodimenis, the lysine end of the peptide is linked to pro-drug complex, so that the MC A group is released into the cytoso! when it is cleaved. The lysine end of the peptide is a useful synthetic handle for conjugation because, for example, it can react with the activated ester group of a Afunctional linker such as Mal-PEG-OSu. Thus the appearance of green fluorescence in the target cells produced using these methods provides a clear indication that apopiosis has begun (if the cell already has a red color from the presence of aggregated quantum dots, the cell turns orange from the combined colors).
Additional fluorescent dyes that find use with the present invention include, but are not limited to, acridine orange, reported as sensitive to DNA changes in apoptotic cells (see, e.g., Abrams et al, Development 1 17:29 (1993)) and ds-parinaric acid, sensitive to the lipid peroxidation that accompanies apopiosis (see, e.g., Hockenbery ei al, Cell 75:241 (1993)). It should be noted that the peptide and the fluorescent dyes are merely exemplary. It is contemplated that any peptide that effectively acts as a substrate for a caspase produced as a result of apoptosis finds use with the present invention.
In some embodiments of the present invention, the lysine end of the peptide is linked to the modular dendrimer nanoparticle, so that the MCA group is released into the cytosol when it is cleaved. The lysine end of the peptide is a useful synthetic handle for conjugation because, for example, it can react with the activated ester group of a bifunctional linker such as Mal-PEG-OSu. Thus the appearance of green fluorescence in the target cells produced using these methods provides a clear indication that apoptosis has begun (if the cell already has a red color from the presence of aggregated quantum dots, the cell turns orange from the combined colors),
Additional fluorescent dyes that find use with the present invention include, but are not limited to, acridine orange, reported as sensitive to DNA changes in apoptotic cells (Abrams et al.. Development 117:29 (1993)) and eis-parinarie acid, sensitive to the lipid peroxidation that accompanies apoptosis (Hockenberv et al., Cell 75:241 (1993)). It should be noted that the peptide and the fluorescent dyes are merely exemplary. It is contemplated that any peptide that effectively acts as a substrate for a caspase produced as a result of apoptosis finds use with the present invention.
As described above, another component of the present invention is that the dendrimer conjugate compositions are able to specifically target a particular ceil type (e.g., tumor cell). In some embodiments, the dendrimer conjugate targets neoplastic cells through a cell surface moiety and is taken into the ceil through receptor mediated endocytosis.
Where clinical applications are contemplated, in some embodiments of the present invention, the antibody // modular dendrimer nanoparticles are prepared as part of a pharmaceutical composition in a form appropriate for the intended application. Generally, this entails preparing compositions that are essentially free of pyrogens, as well as other impurities that could be harmful to humans or animals. However, in some embodiments of the present invention, a straight antibody // modular dendrimer nanoparticles formulation may be administered using one or more of the routes described herein.
In preferred embodiments, the antibody // modular dendrimer nanoparticles are used in conjunction with appropriate salts and buffers to render delivery of the compositions in a stable manner to allow for uptake by target cells. Buffers also are employed when the dendrimer conjugates are introduced into a patient. Aqueous compositions comprise an effecti v e amount of the dendrimer conj ugat es to cells dispersed in a pharmaceutically acceptable carrier or aqueous medium. Such compositions also are referred to as inocula. The phrase "pharmaceutically or pharmacologically acceptable" refer to molecular entities and compositions that do not produce adverse, allergic, or other untoward reactions when administered to an animal or a human. As used herein, "pharmaceutically acceptable carrier" includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. Except insofar as any conventional media or agent is incompatible with the vectors or cells of the present invention, its use in therapeutic compositions is contemplated. Supplementary active ingredients may also be incorporated into the compositions.
In some embodiments of the present invention, the active compositions include classic pharmaceutical preparations. Administration of these compositions according to the present invention is via any common route so long as the target tissue is available via that route. This includes oral, nasal, buccal, rectal, vaginal or topical. Alternatively, administration may be by orthotopic, intradermal, subcutaneous, intramuscular, intraperitoneal or intravenous injection.
The active antibody // modular dendrimer nanoparticles may also be administered parenterally or intraperitoneally or intratum orally. Solutions of the ac tive compounds as free base or pharmacologically acceptable salts are prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
In some embodiments, a therapeutic agent is released from a antibody // modular dendrimer nanoparticle within a target cell (e.g., within an endosome). This type of intracellular release (e.g., endosomal disruption of a linker-therapeutic conjugate ) is contemplated to provide additional specificity for the compositions and methods of the present invention. In some embodiments, the antibody // modular dendrimer nanoparticles of the present invention contain between 100-150 primary amines on the surface. Thus, the present invention provides dendrimers with multiple (e.g., 100-150) reactive sites for the conjugation of linkers and/or functional groups comprising, but not limited to, therapeutic agents, targeting agents, imaging agents and biological monitoring agents.
The compositions and methods of the present invention are contemplated to be equally effective whether or not the dendrimer conjugates of the present invention comprise a fluorescein (e.g. FITC) imaging agent. Thus, each functional group present in a dendrimer composition is able to work independently of the other functional groups. Thus, the present invention provides dendrimer conjugates that can comprise multiple combinations of targeting, therapeutic, imaging, and biological monitoring functional groups.
The present invention also provides a very effective and specific method of delivering molecules (e.g., therapeutic and imaging functional groups) to the interior of target cells (e.g., cancer ceils). Thus, in some embodiments, the present invention provides methods of therapy that comprise or require delivery of molecules into a cell in order to function (e.g., delivery of genetic material such as siRNAs).
The pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. The carrier may be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils. The proper fluidity can be maintained, for example, by the use of a coating, such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. The prevention of the action of microorganisms can be brought about by various antibacterial an antifungal agents, for example, parabens, chforobutanol, phenol, sorbic acid, thimerosal, and the like. In many cases, it may be preferable to include isotonic agents, for example, sugars or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.
Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum-drying and freeze-drying techniques which yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
Upon formulation, antibody // modular dendrimer nanoparticles are administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective. The formulations are easily administered in a variety of dosage forms such as injectable solutions, drug release capsules and the like. For parenteral administration in an aqueous solution, for example, the solution is suitably buffered, if necessary, and the liquid diluent first rendered isotonic with sufficient saline or glucose. These particular aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration. For example, one dosage could be dissolved in 1 ml of isotonic NaCl solution and either added to 1000 ml of hypodermoclysis fluid or injected at the proposed site of infusion, (see for example, "Remington's Pharmaceutical Sciences" 15th Edition, pages 1035- 1038 and 1570-1580). In some embodiments of the present invention, the active particles or agents are formulated within a therapeutic mixture to comprise about 0,0001 to 1.0 milligrams, or about 0.001 to 0.1 milligrams, or about 0.1 to 1.0 or even about 10 milligrams per dose or so. Multiple doses may be administered.
Additional formulations that are suitable for other modes of administration include vaginal suppositories and pessaries. A rectal pessary or suppository may also be used.
Suppositories are solid dosage forms of various weights and shapes, usually medicated, for insertion into the rectum, vagina or the urethra. After insertion, suppositories soften, melt or dissolve in the cavity fluids. In general, for suppositories, traditional binders and carriers may include, for example, polyalkylene glycols or triglycerides; such suppositories may be formed from mixtures containing the active ingredient in the range of 0.5% to 10%, preferably I%- 2%. Vaginal suppositories or pessaries are usually globular or oviform and weighing about 5 g each. Vaginal medications are av ailable in a variety of physical forms, e.g., creams, gels or liquids, which depart from the classical concept of suppositories. In addition, suppositories may be used in connection with colon cancer. The dendrimer conjugates also may be formulated as inhalants for the treatment of lung cancer and such like.
It is contemplated that components of antibody /'/' modular dendrimer nanoparticles of the present invention provide therapeutic benefits to patients suffering from medical conditions and/or diseases (e.g., cancer, inflammatory disease, chronic pain, autoimmune disease, etc.).
Indeed, in some embodiments of the present invention, methods and compositions are provided for the treatment of inflammatory diseases (e.g., antibody // modular dendrimer nanoparticles conjugated with therapeutic agents configured for treating inflammatory diseases). Inflammatory diseases include but are not limited to arthritis, rheumatoid arthritis, psoriatic arthritis, osteoarthritis, degenerative arthritis, polymyalgia rheumatic, ankylosing spondylitis, reactive arthritis, gout, pseudogout, inflammatory joint disease, systemic lupus erythematosus, polymyositis, and fibromy algia. Additional types of arthritis include achiiles tendinitis, achondroplasia, acromegalic arthropathy, adhesive capsulitis, adult onset Still's disease, anserine bursitis, avascular necrosis, Behcet's syndrome, bicipital tendinitis, Blount's disease, brucellar spondylitis, bursitis, calcaneal bursitis, calcium pyrophosphate dihydrate deposition disease (CPPD), crystal deposition disease, Caplan's syndrome, carpal tunnel syndrome, chondrocalcinosis, chondromalacia patellae, chronic synovitis, chronic recurrent multifocal osteomyelitis, Churg-Strauss syndrome, Cogan's syndrome, corticosteroid- induced osteoporosis, costosternal syndrome, CREST syndrome, cryoglobulinemia, degenerative joint disease, dermatomyositis, diabetic finger sclerosis, diffuse idiopathic skeletal hyperostosis (DISH), discitis, discoid lupus erythematosus, drug-induced lupus, Duchenne's muscular dystrophy, Dupuytren's contracture, Ehlers-Danlos syndrome, enteropath c arthritis, epicondylitis, erosive inflammatory osteoarthritis, exercise-induced compartment syndrome, Fabry's disease, familial Mediterranean fever, Farber's
lipogranuiomatosis, Feity's syndrome. Fifth's disease, flat feet, foreign body synovitis, Freiberg's disease, fungai arthritis, Gaucher's disease, giant cell arteritis, gonococcal arthritis, Goodpasture's syndrome, granulomatous arteritis, hemarthrosis, hemochromatosis, Henoch- Schonlein purpura, Hepatitis B surface antigen disease, hip dysplasia, Hurler syndrome, hypermobility syndrome, hypersensitivity vasculitis, hypertrophic osteoarthropathy, immune complex disease, impingement syndrome, Jaccoud's arthropathy, juvenile ankylosing spondylitis, juvenile dermatomyositis, juvenile rheumatoid arthritis, Kawasaki disease, Kienbock's disease, Legg-Caive-Perthes disease, Lesch-Nyhan syndrome, linear
scleroderma, lipoid dermatoarthritis, Lofgren's syndrome, Lyme disease, malignant synovioma, Marian's syndrome, medial plica syndrome, metastatic carcinomatous arthritis, mixed connective tissue disease (MCTD), mixed cryoglobulinemia, mucopolysaccharidosis, multicentric reticulohistiocytosis, multiple epiphyseal dysplasia, mycoplasmal arthritis, myofascial pain syndrome, neonatal lupus, neuropathic arthropathy, nodular panniculitis, ochronosis, olecranon bursitis, Osgood- Schlatter's disease, osteoarthritis,
osteochondromatosis, osteogenesis imperfecta, osteomalacia, osteomyelitis, osteonecrosis, osteoporosis, overlap syndrome, pachydermoperiostosis Paget's disease of bone, palindromic rheumatism, patellofemoral pain syndrome, Pellegrini-Stieda syndrome, pigmented viilonoduiar synovitis, piriformis syndrome, plantar fasciitis, polyarteritis nodos, Polymyalgia rheumatic, polymyositis, popliteal cysts, posterior tibial tendinitis, Pott's disease, prepatellar bursitis, prosthetic joint infection, pseudoxanthoma elasticum, psoriatic arthritis, Raynaud's phenomenon, reactive arihritis/Reiter's syndrome, reflex sympathetic dystrophy syndrome, relapsing polychondritis, retrocaicaneal bursitis, rheumatic fever, rheumatoid vasculitis, rotator cuff tendinitis, sacroiliitis, salmonella osteomyelitis, sarcoidosis, saturnine gout, Scheuermann's osteochondritis, scleroderma, septic arthritis, seronegative arthritis, shigella arthritis, shoulder-hand syndrome, sickle cell arthropathy, Sjogren's syndrome, slipped capital femoral epiphysis, spinal stenosis, spondylolysis, staphylococcus arthritis, Stickier syndrome, subacute cutaneous lupus, Sweet's syndrome, Sydenham's chorea, syphilitic arthritis, systemic lupus erythematosus (SLE), Takayasu's arteritis, tarsal tunnel syndrome, tennis elbow, Tieise's syndrome, transient osteoporosis, traumatic arthritis, trochanteric bursitis, tuberculosis arthritis, arthritis of Ulcerative colitis, undifferentiated connective tissue syndrome (UCTS), urticarial vasculitis, viral arihriiis, Wegener's granulomatosis, Whipple's disease, Wilson's disease, and yersinia! arthritis.
In some embodiments, antibody // modular dendrimer nanoparticles of the present invention configured for treating autoiniinune disorders and'Or inflammatory disorders (e.g., rheumatoid arthritis) are co- dministered to a subject (e.g., a human suffering from an autoimmune disorder and'Or an inflammatory disorder) a therapeutic agent configured for treating autoimmune disorders and'Or inflammatory disorders (e.g., rheumatoid arthritis). Examples of such agents include, but are not limited to, disease-modify ing antirheumatic drags (e.g., leflunomide, methotrexate, sulfasalazine, hydroxychloroquine), biologic agents (e.g., rituximab, infliximab, etanercept, adalimumab, goiimumab), nonsteroidal antiinflammatory drugs (e.g., ibuprofen, celeeoxib, ketoprofen, naproxen, piroxicam, diclofenac), analgesics (e.g., acetaminophen, tramadol), immunomodulators (e.g., anakinra, abataeept), and glucocorticoids (e.g., prednisone, methylpred isone).
In some embodiments, the medical condition and'Or disease is pain (e.g., chronic pain, mild pain, recurring pain, severe pain, etc.). In some embodiments, the conjugated dendrimers of the present invention are configured to deliver pain relief agents to a subject, in some embodiments, the dendrimer conjugates are configured to deliver pain relief agents and pain relief agent antagonists to counter the side effects of pain relief agents. The dendrimer conjugates are not limited to treating a particular type of pain and'Or pain resulting from a disease. Examples include, but are not limited to, pain resulting from trauma (e.g., trauma experienced on a battlefield, trauma experienced in an accident (e.g., car accident)). In some embodiments, the dendrimer conjugates of the present invention are configured such that they are readily cleared from the subject (e.g., so that there is little to no detectable toxicit '- at efficacious doses).
In some embodiments, the disease is cancer. The present invention is not limited by the type of cancer treated using the compositions and methods of the present invention.
Indeed, a variety of cancer can be treated including, but not limited to, prostate cancer, colon cancer, breast cancer, lung cancer and epithelial cancer. Similarly, the present invention is not limited by the type of inflammatory disease and/or chronic pain treated using the compositions of the present invention. Indeed, a variety of diseases can be treated including, but not limited to, arthritis (e.g., osteoarthritis, rheumatoid arthritis, etc.), inflammator '' bowel disease (e.g., colitis, Crohn's disease, etc.), autoimmune disease (e.g., lupus erythematosus, multiple sclerosis, etc.), inflammatory pelvic disease, etc. In some embodiments, the disease is a neoplastic disease, selected from, but not limited to, leukemia, acute leukemia, acute lymphocytic leukemia, acute myelocytic leukemia, myeioblastie, promyelocytic, myelomonocytic, monocytic, eiythroleukemia, chronic leukemia, chronic myelocytic, (granulocytic) leukemia, chronic lymphocytic leukemia, Polycythemia vera, lymphoma, Hodgkin's disease, non-Hodgkin's disease, Multiple myeloma, Waldenstrom's macroglobulinemia, Heavy chain disease, solid tumors, sarcomas and carcinomas, fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymphangiosarcoma,
lymphangioendotheliosarcoma, synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer, prostate cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal carcinoma, Wilms' tumor, cervical cancer, uterine cancer, testicular tumor, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pinealoma, hemangioblastoma, acoustic neuroma, oligodendroglioma, meningioma, melanoma, and neuroblastomaretmoblastoma. In some embodiments, the disease is an inflammatory disease selected from the group consisting of, but not limited to, eczema, inflammatory bowel disease, rheumatoid arthritis, asthma, psoriasis, ischemia/reperfusion injury, ulcerative colitis and acute respiratory distress syndrome. In some embodiments, the disease is a viral disease selected from the group consisting of, but not limited to, viral disease caused by hepatitis B, hepatitis C, rotavirus, human immunodeficiency virus type 1 (HIV-I), human immunodeficiency virus type II (HT.V- II), human T-cell lymphotropic virus type I (HTLV-I), human T-cell lymphotropic virus type II (HTLV-II), AIDS, DNA viruses such as hepatitis type B and hepatitis type C virus;
parvoviruses, such as adeno-associated virus and cytomegalovirus; papovaviruses such as papilloma virus, polyoma viruses, and SV40; adenoviruses; herpes viruses such as herpes simplex type I (HSV-T), herpes simplex type II (HSV-II), and Epstein-Barr virus; poxviruses, such as variola (smallpox) and vaccinia virus; and RNA viruses, such as human
immunodeficiency virus type I (HIV- 1), human immunodeficiency virus type II (HIV-II), human T-cell lymphotropic virus type I (HTLV-T), human T-cell lymphotropic vims type IT (HTLV-Π), influenza virus, measles virus, rabies virus, Sendai virus, picornaviruses such as poliomyelitis vims, coxsackieviruses, rhinoviruses, reoviruses, togaviruses such as rubella virus (German measles) and Semliki forest virus, arboviruses, and hepatitis type A vims. it is contemplated that the antibody // modular dendrimer nanoparticles of the present invention can be employed in the treatment of any pathogenic disease for which a specific signature has been identified or which can be targeted for a given pathogen. Examples of pathogens contemplated to be ireatable with the methods of the present invention include, but are not limited to, Legionella peomophilia, Mycobacterium tuberculosis, Clostridium tetani. Hemophilus influenzae. Neisseria gonorrhoeae, Treponema pallidum. Bacillus anthracis, Vibrio cholerae, Borrelia burgdorferi, Cornebacterium diphtheria. Staphylococcus aureus, human papilloma virus, human immunodeficiency virus, rubella virus, polio virus, and the like.
The present invention also includes methods involving co-administration of the antibody // modular dendrimer nanoparticles of the present invention with one or more additional active agents. Indeed, it is a further aspect of this invention to provide methods for enhancing prior art therapies and/or pharmaceutical compositions by co-administering conjugated dendrimers of this inv ention. In co-administration procedures, the agents may be administered concurrently or sequentially. In some embodiments, the conjugated dendrimers described herein are administered prior to the other active agent(s). The agent or agents to be co-administered depends on the type of condition being treated. For example, when the condition being treated is arthritis, the additional agent can be an agent effective in treating arthritis (e.g., TNF-a inhibitors such as anti-TNF a monoclonal antibodies (such as
REMICADE®, CDP-870 and HUMIRA™ (adalimumab) and TNF receptor-immunoglobulin fusion molecules (such as ENBREL®)(entanercept), IL-1 inhibitors, receptor antagonists or soluble IL-1R a (e.g. K1NERET™ or ICE inhibitors), nonsteroidal anti-inflammatory agents (NSAIDS), piroxicam, diclofenac, naproxen, flurbiprofen, fenoprofen, ketoprofen ibuprofen, fenamates, mefenamic acid, indomethacin, sulindac, apazone, pyrazolones, phenylbutazone, aspirin, COX-2 inhibitors (such as CELEBREX® (celecoxib), VIOXX® (rofecoxib), BEXTRA® (valdecoxib) and etoricoxib, (preferably MMP-13 selective inhibitors),
NEUROTIN®, pregabalin, sulfasalazine, low dose methotrexate, iefiunomide,
hydroxychloroquine, d-penicillamine, auranofin or parenteral or oral gold). The additional agents to be co-administered can be any of the well-known agents in the art, including, but not limited to, those that are currently in clinical use. The determination of appropriate type and dosage of radiation treatment is also within the skill in the art or can be determined with relative ease. In some embodiments, the composition is co-administered with an anti-cancer agent
(e.g., Acivicin; Aclarubicin; Aeodazole Hydrochloride; Acronine; Adozelesin; Adriamycin;
Aldesleukin; Alitretinoin; Allopurinol Sodium; Altretamine; Ambomycin; Ametantrone
Acetate; Aminoglutethimide; Amsacrine; Anastrozole; Arnionaceous Acetogenins;
Anthramycin; Asimicin; Asparaginase; Asperlin; Azacitidine; Azetepa; Azotomycin;
Batimastat; Benzodepa; Bexarotene; Bicalutamide; Bisantrene Hydrochloride; Bisnafide
Dimesyiate; Bizelesin; Bleomycin Sulfate; Brequinar Sodium; Bropirimine; Bullatacin;
Busulfan; Cabergoiine; Cactinomycin; Calusterone; Caracemide; Carbetimer; Carboplatin;
Carmustine; Carubicin Hydrochloride; Carzelesin; Cedefingol; Celecoxib; Chlorambucil; Cirolemyein; Cisplatin; Cladribine; Crisnatol Mesylate; Cyclophosphamide; Cytarabine;
Dacarbazine; DACA ( -[2-(Dimethyl-amino)ethyl]acridine-4-carboxamide); Dactinomycin;
Daunorubicin Hydrochloride; Daunomycin; Deciiabine; Denileuliin Diftitox; Dexormaplatm;
Dezaguanine; Dezaguanine Mesylate; Diaziquone; Docetaxel; Doxorubicin; Doxorubicin
Hydrochloride; Droloxifene; Droloxifene Citrate; Dromostanolone Propionate; Duazomycin; Edatrexate; Eflornithine Hydrochloride; Elsamitrucin; Enloplatin; Enpromate; Epipropidine;
Epirubicin Hydrochloride; Erbulozoie; Esorubicin Hydrochloride; Estramustine;
Estramustine Phosphate Sodium; Etanidazole; Ethiodized Oil 1 13 ; Etoposide; Etoposide
Phosphate; Etoprine; Fadrozole Hydrochloride; Fazarabine; Fenretinide; Floxuridine;
Fludarabine Phosphate; Fluorouracil; 5-FdUMP; Flurocitabine; Fosquidone; Fostriecin Sodium; FK-317; FK-973; FR-66979; FR-900482; Gemcitabine; Geimcitabine
Hydrochloride; Gem uzumab Ozogamicin; Gold Au 198; Goserelin Acetate; Guanacone;
Hydroxyurea; Idarubicin Hydrochloride; Itbsfamide; Ihnofosine; Interferon Alfa-2a;
Interferon AIfa~2b; Interferon Alfa~nl ; Interferon Alfa~n3; Interferon Beta- la; Interferon
Gamma- lb; iproplatin; Irinotecan Hydrochloride; Lanreotide Acetate; Letrozole; Leuprolide Acetate; Liarozole Hydrochloride; Lometrexol Sodium; Lomustine; Losoxantrone
Hydrochloride; Masoprocol; Maytansine; Mechlorethamine Hydrochloride; Megestrol
Acetate; Melengestrol Acetate; Melphalan; Menogaril; Mercaptopurine: Methotrexate;
Methotrexate Sodium; Methoxsalen; Metoprine; Meturedepa; Mitindomide; Mitocarcin;
Mitocromin; Mitogillin; Mitomalcin; Mitomycin; Mytomycin C; Mitosper; Mitotane;
Mitoxantrone Hydrochloride; Mycophenolic Acid; Nocodazole; Nogalamycin; Oprelvekin;
Ormap latin; Oxisuran; Paclitaxel; Pamidronate Disodium; Pegaspargase; Peliomycin;
Pentamustine; Pepfomycin Sulfate; Perfosfamide; Pipobroman; Piposulfan; Piroxantrone
Hydrochloride; Plicamycin; Plomestarie; Porfmier Sodium; Porfiromycin; Predniinustine;
Procarbazine Hydrochloride; Puromycin; Puromycin Hydrochloride; Pyrazofurin; Riboprine; Rituximab; Rogletimide; Rolliniastatin; Safmgol; Safingol Hydrochloride;
Sa.marium/Lexidronam; Semustine; Simirazene; Sparfosate Sodium; Sparsomycin;
Spirogermanium Hydrochloride; Spiromustine; Spiroplatin; Squamocin; Squaraotacin;
Streptonigrin; Streptozocin; Strontium Chloride Sr 89; Sulofenur; Talisomyciii; Taxane; Taxoid; Tecogalan Sodium; Tegafur; Teloxantrone Hydrochloride; Temoporfin; Teniposide; Teroxirone; Testolactone; Thianiiprine; Thioguanine; Thiotepa; Thymitaq; Tiazofurin;
Tirapazamine; Tomudex; ΊΌΡ-53; Topotecan Hydrochloride; Toremifene Citrate;
Trastuzumab; Trestolone Acetate; Triciribine Phosphate; Trimetrexate; Trimetrexate Glucuronate; Tripioreiin; Tubulozole Hydrochloride; Uracil Mustard; Uredepa; Valrabicin; Vapreotide; Verteporfin; Vinblastine; Vinblastine Sulfate; Vincristine; Vincristine Sulfate;
Vindesine; Vindesine Sulfate; Vinepidine Sulfate; Vinglycinate Sulfate; Vmleurosine Sulfate; Vinorelbine Tartrate; Vinrosidine Sulfate; Vinzolidine Sulfate; Vorozole; Zeniplatin;
Zinostatin; Zorubicin Hydrochloride; 2-Chlorodeoxy adenosine; 2'-Deoxyformycin; 9- aminoeamptothecin; raltitrexed; M-propargyl-5,8-dideazafolic acid; 2-chloro-2'-arabino- fluoro-2'-deox adenosine; 2-chloro-2'-deoxyadenosine; anisomycin; trichostatin A; hPRL- G129R; CEP- 751 ; linomide; sulfur mustard; nitrogen mustard (mechlorethamine):
cyclophosphamide; melphalan; chlorambucil; ifosfamide; busulfan; N-methyl-N-nitrosourea (MNU); , N'-Bis(2-chloroethyl)-N-nitrosourea (BCNU); N-(2-chloroethyl)-N'-cyclohex- yl- N-nitrosourea (CCNU); N-(2-chloroethyl)-N'-(trans-4-methylcyclohexyl-N— nitrosourea (MeCC U): N-(2~chloroetliyl)-N,~(diethyl)etliylphosphonate-N~nit- rosourea (fotemusfine); streptozotocin; diacarbazine (D'T'IC); mitozoiomsde; temozolomide; thiotepa; mitomycin C; AZQ; adozelesin; Cispiatin; Carbopiatin; Ormapiatin; Oxaliplatin; C l-973; DWA 21 14R; JM216; JM335: Bis (platinum); tomudex; azacitidine: cytarabine; gemcitabine; 6- Mercaptopurine; 6-Thioguanine; Hypoxanthine; teniposide; 9-amino camptothecin;
Topotecan; CPT-1 1 ; Doxorubicin; Daunomycin; Epirubicin; darubicin; mitoxantrone;
losoxantrone; Dactinomycin (Actinomycin D); amsacrine; pyxazoloacridine; all-trans retinol; 14- hydroxy- retro -retinol; all-trans retinoie acid; N-(4-Hydroxyphenyl) retinamide; 13-cis retinoic acid; 3 -Methyl T'T'NEB; 9-cis retinoie acid; fludarabine (2-F-ara-AMP); and 2- chlorodeoxyadenosine (2-Cda). Other anti-cancer agents include, but are not limited to, Antiproliferative agents (e.g., Piritrexim Isothionate), Antiprostatic hypertrophy agent (e.g., Sitogluside), Benign prostatic hyperplasia therapy agents (e.g., Tamsulosin Hydrochloride), Prostate growth inhibitor agents (e.g., Pentomone), and Radioactive agents: Fibrinogen 1 125; Fludeoxy glucose F 18; Fluorodopa F I S; Insulin I 125; Insulin I 131 ; Iobenguane I 123; lodipamide Sodium 1 131 ; lodoaniipyrme 1 131 ; lodochoiesteroi 1 131 ; Iodohippurate Sodium I 123; lodohippurate Sodium I 125; Iodohippurate Sodium I 131 ; Iodopyracet I 125;
Iodopyracet 1 131 ; Iofetamine Hydrochloride I 123; Iomethin I 125; Iomethin 1 131 ;
Tothalamate Sodium I 125; loraaiamate Sodium I 131 ; lotyrosine 1 131 ; Liothyronine 1 125; Liothyronine I 131 ; Merisoprol Acetate Hg 197; Merisoprol Acetate Hg 203; Merisoprol Hg 197; Selenomethionine Se 75; Technetium Tc 99m Antimony Trisulflde Colloid; Technetium Tc 99m Bicisate; Technetium Tc 99m Disofenin; Technetium Tc 99m Etidronate;
Technetium Tc 99m Exametazime; Technetium Tc 99m Furifosmm; Technetium Tc 99m Giuceptate; Technetium Tc 99m Lidotenin; Teclmeiium Tc 99m Mebrofenin; Technetium Tc 99m Medronate; Teclmeiium Tc 99m Medronate Disodium; Technetium Tc 99m Mertiatide; Technetium Tc 99m Oxidronate; Technetium Tc 99m Pentetate; 'T echnetium Tc 99m
Pentetate Calcium Trisodium; Technetium Tc 99m Sestamibi; Technetium Tc 99m
Siboroxime; Teclmeiium Tc 99m Succimer; Technetium Tc 99m sulfur Colloid; Technetium Tc 99m Teboroxime; Technetium Tc 99m Tetrofosmin; Technetium Tc 99m Tiatide;
Thyroxine I 125; Thyroxine 1 131 ; Tolpovidone 1 131 ; Triolein 1 125; and Triolein 1 131).
Additional anti-cancer agents include, but are not limited to anti-cancer
Supplementary Potentiating Agents: Tricyclic anti-depressant drugs (e.g., imipramine, desipramine, amitryptyline, clomipramine, trimipramine, doxepin, nortriptyline, protriptyline, amoxapine and maprotiline); non-tricyclic anti-depressant drugs (e.g., sertraline, trazodone and citalopram); Ca' antagonists (e.g., verapamil, nifedipine, nitrendipine and caroverine); Calmodulin inhibitors (e.g., prenylamine, trifluoroperazine and clomipramine); Amphotericin B; Triparanol analogues (e.g., tamoxifen); antiarrhythmic drugs (e.g., quimdine);
antihypertensive drags (e.g., reserpine); Thiol depleters (e.g., buthionine and sulfoximine) and Multiple Drug Resistance reducing agents such as Cremaphor EL. Still other anticancer agents include, but are not limited to, annonaceous acetogenins; asimicin; roiJiniastatin; guaiiacone, squamocin, bullatacin; squamotacin; taxanes; paclitaxel; gemcitabine;
methotrexate FR-900482; FK-973; FR-66979; FK-317; 5-FU; FUDR; FdUMP; Hydroxyurea; Docetaxel; discodermolide; epothilones; vincristine; vinblastine; vinorelbine; meta-pac; irinotecan; SN-38; 10-OH campto; topotecan; etoposide; adriamycin; flavopiridol; Cis-Pt; carbo-Pt; bleomycin; mitomycin C; mithramycin; capecitabine; cytarabine; 2-C1- 2'deoxyadenosine; Fludarabine-PO^; mitoxantrone; mitozolomide; Pentostatin; and Tomudex. One particularly preferred class of anticancer agents are taxanes (e.g., paclitaxel and docetaxel). Another important category of anticancer agent is annonaceous acetogenin.
In some embodiments, the composition is co-administered with a pain relief agent. In some embodiments, the pain relief agents include, but are not limited to, analgesic drugs, anxiolytic drugs, anesthetic drugs, antipsychotic drugs, hypnotic drugs, sedative drugs, and muscle relaxant drugs.
n some embodiments, the analgesic drags include, but are not limited to, nonsteroidal anti-inflammatory drugs, COX-2 inhibitors, and opiates. Tn some embodiments, the non-steroidal anti-inflammatory drugs are selected from the group consisting of
Acetylsalicylic acid (Aspirin), Amoxiprin, Benorylate/Benorilate, Choline magnesium salicylate, Diflunisal, Ethenzamide, Faislamme, Methyl salicylate. Magnesium salicylate, Salicyl salicylate, Salicylamide, arylalkanoic acids, Diclofenac, Aceclofenac, Acemethacin, Alclofenac, Bromfenae, Etodoiac, Indometacin, Nabumetone, Oxametacin, Proglumetaein, Sulindac, Tolmetm, 2-arylpropionic acids, Ibuprofen, Alminoprofen, Benoxaprofen, Carprofen, Dexibuprofen, Dexketoprofen, Fenbufen, Fenoprofen, Flunoxaprofen,
Flurbiprofen, Ibuproxam, Indoprofen, Ketoprofen, Ketorolac, Loxoprofen, Naproxen, Oxaprozin, Pirprofen, Suprofen, Tiaprofenic acid), N-arylanthranilic acids, Mefenamic acid, Flufenamic acid, Meclofenamic acid, Tolfenamic acid, pyrazolidine derivatives,
Phenylbutazone, Ampyrone, Azapropazone, Clofezone, Keb zone, Metamizole,
Mofebuiazone, Qxyphenbutazone, Phenazone, Sulfinpyrazone, oxicams, Piroxicam, Droxicam, Lornoxicam, Meloxicam, Tenoxicam, sulphonanilides, nimesulide, licofelone, and omega-3 fatty acids. Tn some embodiments, the COX-2 inhibitors are selected from the group consisting of Celecoxib, Etoricoxib, Lumiracoxtb, Parecoxib, Rofecoxib, and Vakiecoxib. In some embodiments, the opiate drugs are selected from the group consisting of natural opiates, alkaloids, morphine, codeine, thebaine, semi-synthetic opiates, hydromorphone,
hydrocodone, oxycodone, oxymorphone, desomorphine, diaeetylmorphine (Heroin), nicomorphine, dipropanoylmorphine, diamorphine, benzylmorphine, Buprenorphine, Nalbuphine, Pentazocine, meperidine, diamorphine, ethylmorphine, fully synthetic opioids, fentanyl, pethidine, Oxycodone, Oxymorphone, methadone, tramadol, Butorphanol,
Levorphanol, propoxyphene, endogenous opioid peptides, endorphins, enkephalins, dynorphins, and endomorphins.
In some embodiments, the anxiolytic drugs include, but are not limited to, benzodiazepines, alprazolam, bromazepam (Lexotan), chlordiazepoxide (Librium),
Clobazam, Clonazepam, Clorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, iemazepam, nimetazepam, Estazolani, Flimiirazepam, oxazepam (Serax), temazepam
( estoril, Normison, Planum, Tenox, and Temaze, Triazolam, serotonin 1A agonists, Buspirone (BuSpar), barbituates , amobarbital (Amytal), pentobarbital (Nembutal), secobarbital (Seconal), Phenobarbital, Methohexital, Thiopental, Methylphenobarbital, Meiharbital, Barbexaclone), hydroxyzine, cannabidiol, valerian, kava (Kava Kava), chamomile, Kratom, Blue Lotus extracts, Sceletium tortuosum (kanna) and bacopa monniera.
In some embodiments, the anesthetic drags include, but are not limited to, local anesthetics, procaine, amethocaine, cocaine, lidocaine, prilocaine, bupivacaine,
levobupivacaine, ropivacaine, dibucaine, inhaled anesthetics, Desfiurane, Enflurane, Halot ane, Isoflurane, Nitrous oxide, Sevofiurane, Xenon, intravenous anesthetics,
Barbiturates, amobarbital (Amytal), pentobarbital (Nembutal), secobarbital (Seconal), Phenobarbital, Methohexital, Thiopental, Methylphenobarbital, Meiharbital, Barbexaclone)), Benzodiazepines, alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium),
Clobazam, Clonazepam, Ciorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, temazepam, nimetazepam, Estazolam, Flunitrazepam, oxazepam (Serax), temazepam
(Restorii, Normison, Planum, Tenox, and Temaze), Triazolam, Etomidate, Ketamine, and PropofoL
In some embodiments, the antipsychotic drags include, but are not limited to, butyrophenones, haloperkloi, phenothiazines, Chlorpromazine (Thorazine), Fluphenazine (Prolixin), Perphenazine (Trilafon), Prochlorperazine (Compazine), Thioridazine (Mellaril), Trifluoperazine (Stelazine), Mesoridazine, Promazine, Tr flupromazine (Vesprin),
Levomepromazine (Nozinan), Promethazine (Phenergan)), thioxanthenes, Chiorprothixene, Flupenthixol (Depixol and Fluanxol), Thiothixene (Navane), Zuclopenthixol (Clopixol & Acuphase)), clozapine, olanzapine, Risperidone (Risperdal), Quetiapine (Seroquel),
Ziprasidone (Geodon), AmisuJpride (Solian), Paliperidone (invega), dopamine, bifeprunox, norclozapine (ACP-104), Aripiprazole (Abilify), Tetrabenazine, and Cannabidiol.
In some embodiments, the hypnotic drags include, but are not limited to, Barbiturates, Opioids, benzodiazepines, alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium), Clobazam, Clonazepam, Ciorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, temazepam, nimetazepam, Estazolam, Flunitrazepam, oxazepam (Serax), temazepam
(Restorii, Normison, Planum, Tenox, and Temaze), Triazolam, nonbenzodiazepines, Zolpidem, Zaleplon, Zopiclone, Eszopiclone, antihistamines, Diphenhydramine, Doxylamine, Hydroxyzine, Promethazine, gamma-liydroxybutyric acid (Xyrem), Gfutethimide, Chloral hydrate, Ethchlorvynol, Levomepromazine, Chlormethiazole, Melatonin, and Alcohol.
In some embodiments, the sedaiive drugs include, but are not limited to, barbituates, amobarbital (Amytal), pentobarbital (Nembutal), secobarbital (Seconal), Phenobarbital, Methohexital, Thiopental, Methylphenobarbital, Meiharbital, Barbexaclone),
benzodiazepines, alprazolam, bromazepam (Lexotan), chiordiazepoxide (Librium), Clobazam, Clonazepam, Clorazepate, Diazepam, Midazolam, Lorazepam, Nitrazepam, iemazepam, nimetazepam, Estazolam, Flunitrazepani, oxazepam (Serax), iemazepam (Restoril, Normison, Planum, Tenox, and T'emaze), Triazolam, herbal sedatives,
ashwagandha, catnip, kava (Piper methysticum), mandrake, marijuana, valerian, solvent sedatives, chloral hydrate (Noctec), diethyl ether (Ether), ethyl alcohol (alcoholic beverage), methyl trichloride (Chloroform), nonbenzodiazepine sedatives, eszopiclone (Lunesta), zaleplon (Sonata), Zolpidem (Ambien), zopiclone (Imovane, Zimovane)), clometliiazole (clomethiazole), gamma-hydroxybutyrate (GHB), Thalidomide, ethchlorvynol (Placidyl), giutethimide (Doriden), ke!amine (Ketalar, Ketaset), niethaqualone (Sopor, Quaalude), methyprylon (Noludar), and ramelteon (Rozerem).
In some embodiments, the muscle relaxant drugs include, but are not limited to, depolarizing muscle relaxants, Succinyleholine, short acting non-depolarizing muscle relaxants, Mivacurium, apacuronium, intermediate acting non-depolarizing muscle relaxants, Atracurium, Cisatracurium, Rocuronium, Vecuronium, long acting nondepolarizing muscle relaxants, Alcuronium, Doxacurium, Gallamme, Metocurine,
Pancuronium, Pipecuronium, and d-Tubocurarine.
In some embodiments, the composition is co-administered with a pain relief agent antagonist. In some embodiments, the pain relief agent antagonists include drugs that counter the effect of a pain relief agent (e.g., an anesthetic antagonist, an analgesic antagonist, a mood stabilizer antagonist, a psycholeptic drug antagonist a psychoanaleptic drug antagonist, a sedative drug antagonist, a muscle relaxant drug antagonist, and a hypnotic drug antagonist). In some embodiments, pain relief agent antagonists include, but are not limited to, a respiratory stimuiant, Doxapram, BIMU-8, CX-546, an opiod receptor antagonist, Naloxone, naltrexone, nalorphine, levallorphan, cyprodime, naltrindole, norbinaltorphimine, buprenorphine, a benzodiazepine antagonist, ffumazenil, a non-depolarizing muscle relaxant antagonist, and neostigmine.
EXAMPLES
The following examples are provided in order to demonstrate and further illustrate certain preferred embodiments and aspects of the present invention and are not to be construed as limiting the scope thereof.
Example 1 Previous experiments involving dendrimer related technologies are located in U.S. Patent Nos. 6,471,968, 7,078,461 ; U.S. Patent Application Serial Nos. 09/940,243, 10/431 ,682, 1 1,503,742, 1 1 ,661 ,465, 1 1/523,509, 12/403, 179, 12/106,876, 1 1/827,637, 10/039,393, 10/254,126, 09/867,924, 12/570,977, and 12/645,081 ; U.S. Provisional Patent Application Serial Nos.61/256,699, 61 /226,993, 61/140,480, 61/091,608, 61/097,780, 61/101,461, 61/251,244, 60/604,321, 60/690,652, 60/707,991, 60/208,728, 60/718,448, 61/035,949, 60/830,237, and 60/925, 181; and international Patent Application Nos.
PCT/US2010/051835, PCT/US2010/050893 ; PCT/US2010/042556, PCT/US2001/015204, PCT/US2005/030278, PCT/US2009/069257, PCT/US2009/036992, PCT/US2009/059071 , PCT/US2007/015976, and PCT/US2008/061023.
Example 2
This example describes the synthesis of modular dendrimer nanoparticles having precise numbers of imaging agents, and the synthesis of antibodies conjugated with modular dendrimer nanoparticles having precise numbers of imaging agents.
A general strategy for synthesis of modular dendrimer nanoparticles having precise e 1 :
Figure imgf000083_0001
Figure imgf000083_0002
(Scheme 1); wherein RI is alkene, thiol,diene, cyclooctyne, fluorinated cyclooctyne, alkyne or azide; wherein R2 is thiol, alkene, dieneophile, azide or alkyne; and R3 is cyclooctyne, fluorinated cyclooctyne, alkyne, alkene, thiol or diene. The dendrimer in this scheme is represented by the circular sphere with the mean number of terminal arms denoted (mean of 1 12 primary amines per dendrimer for the parent structure). The functional group (e.g., dye molecule, therapeutic agent) is represented with an oval shape. As shown in Scheme 1, synthesis of the modular dendnmer nanoparticle having a precise number of imaging agents and an antibody conjugation ligand is divided into two sections: 1 ) isolation of dendnmer with exact numbers of imaging agent conjugation ligands and 2) imaging agent conjugation via the imaging agent conjugation ligands.
Semi-preparatory HPLC with fractionation is used to isolate dendrimers with exact numbers of alkyne -terminated ligands from stochastically produced dendrimer- ligand conjugates (see, e.g., Figure 3) (see, e.g., Mullen, D. G.; et al,, Chemistry-a European Journal 2010, 16, (35), 10675-10678). The range of isolated dendrimer- ligand species was from 0 to 8 ligands per dendrimer, produced at a minimum of 80% purity. In addition, isolated dendrimer-ligand species have been obtained at scales of tens of mg per batch and applied the isolation technology to ligands with terminal azide, alkene, thiol and cyciooctyne groups,
A strategy for the conjugation of an exact number of imaging agents (e.g., dyes) to the dendrimer is shown in Scheme 2. This process can be divided into two sections: 1) isolation of dendrimers with exact numbers of imaging agent conjugation ligands; and 2) conjugation of imaging agents (e.g., dyes) to dendrimers with exact numbers of imaging agent conjugation ligands. The isolation protocol uses a generation 5 PAMAM dendrimer with alkene-terminated isolation ligands and a gradient elution of water and acetonitrile (with
0.14% trifluoroacetic acid). Fractionation and collection with a semi-preparative HPLC obtains isolated dendrimer particles with exact numbers of isolation ligands per particle (n =
1, 2, 3...9). In a second step, conjugation of a thiol -modified AF488 to the dendrimer with exact numbers of alkynes is based on previously published conditions for UV-catalyzed thiol- ene 'click' chemistry (see, e.g., Killops, K. L.; et al, Journal of the American Chemical Society 2008, 130, ( 15), 5062). An excess of imaging agent (e.g., dye) is used to drive the conversion of the alkene groups. The purity of the PAMAM dendrimer with exact numbers of alkene ligands is assessed by HPLC andΉ NMR. PAMAM dendrimer with exact numbers of AF488 are also characterized by HPLC and NMR as well as by fluorimetry, and UV-vis.
Figure imgf000085_0001
(Sheme 2)
HPLC characterization of the dendimer- imaging agent (e.g., dye) conjugates combined with a peak fitting method (see, e.g., Mullen, D. G.; et al., Acs Nano 2010, 4, (2), 657-670) are used to determine the purity of the dendrirner-dye conj ugates. This information is independently confirmed by NM , fiuorimetry, and UV-vis characterization which provide an averaged dye/dendrimer ratio.
A general approach for producing antibodies conjugated with modular dendrimer nanoparticles having exact numbers of imaging agnef s (e.g., dye molecules) is shown in Schemes 3 and 4.
Figure imgf000085_0002
(Scheme 3); wherein R3 a ligand is configured to facilitate conjugation with another chemical group via click chemistry (e.g., cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group); wherein R4 is an azide group.
Figure imgf000086_0001
(Scheme 4)
The approach shown in Schemes 3 and 4 is utilized as to precisely control the number and location of conjugated dendrimer and to preserve the specific antigen-binding function of the antibody. The two carboxylic acid groups located at the c-termini of the antibody Fc region are utilized as unique conjugation sites. Although other carboxylic acid groups are present at other regions of the antibody (in aspartic acid and glutamic acid groups and at the c-termini of the hinge region), these groups are considered unreactive either due to post- transcriptionai modifications or due to steric blockage. As such, in some embodiments, modification of these c-termini carboxylic acid groups with an azide-terrninated linker provides an orthogonal site for controlling antibody-dendrimer conjugation.
Alternative types of orthogonal coupling are shown in 'Table 2 and include copper catalyzed alkyne-azide 'click' reaction. In addition, spacer molecules can be used to reduce imaging agent (e.g., dye molecule) self-quenching. Table 2: Exam les of R rou s.
Figure imgf000087_0001
Example 3
This example the synthesis of an antibody conjugated with two modular dendrimer nanoparticles having precise numbers of imaging agents.
A monocoional anti-CD4 antibody is used in this example. The monoclonal antibody is modified with an azido-amine linker using TSTU-mediated coupling chemistry. To avoid side-reactions with the aniibody primary amines, a 1000 fold excess of the azido-amine linker is used. L!nreacted linker and coupling agents are removed using a size exclusion column and conjugation of the dendrimer to the antibody is achieved using ring-stein promoted 'click' chemistry. The antibody -dye ratio is determined by fluorimetry and UV-vis, Purity of the conjugate is determined by SDS-PAGE and identification of the antibody conjugation region is determined by a fragmentation method (see, e.g., Pierce FAB Preparation Kit - 44985. Pierce Biotechnology Product Instructions 201 1). Specificity of the antibodies conjugated with (wo modular dendrimer nanoparticles having precise numbers of imaging agents is determined by flow cytometry with a co-culture of CD4 + and - cells. Batch consistency is measured using fluorimetry and the flow cytometry assay with CD4 +/- cells. Finally, the quantitative differences between aniibody conjugates with 2, 4, and 6 AF488 dyes is determined by fluorimetry and the flow cytometry assay with with CD4 +/- cells. In each characterization of the antibodies conjugated with two modular dendrimer nanoparticles having precise numbers of imaging agents, classically-labeled antibodies serve as controls.
Example 5
This example describes the synthesis of modular dendrimer nanoparticles having precise numbers of imaging agents, and the synthesis of antibodies conjugated with modular dendrimer nanoparticles having precise numbers of imaging agents.
A general strategy for synthesis of modular dendrimer nanoparticles having precise numbers of imaging agents and antibody conjugation ligands is shown in scheme 5:
O
1) Ligand ConL 2) HPLC
EDC, NHS ( H2N Isolation (Η2Ν'
G5 Dendrimer
(
Figure imgf000089_0001
(Scheme 5); wherein Ri is alkene, thiol,diene, cyclooctyne, fluorinated cyclooctyne, alkyne or azide; and wherein R2 is thiol, alkene, dieneophile, azide, alkyne, cyclooctyne or fluorinated cyclooctyne.
As shown in Scheme 5, synthesis of the modular dendrimer nanoparticle having a precise number of imaging agents and an antibody conjugation ligand is divided into two sections: 1 ) isolation of dendrimer with exact numbers of imaging agent conjugation ligands and 2) imaging agent conjugation via the imaging agent conjugation ligands.
Semi-preparatory HPLC with fractionation is used to isolate dendrimers with exact numbers of alkyne-terminated ligands from stochastically produced dendrimer- ligand conjugates (see, e.g., Figure 3) (see, e.g., Mullen, D. G.; et al,, Chemistry-a European Journal 2010, 16, (35), 10675-10678). The range of isolated dendrimer- ligand species was from 0 to 8 ligands per dendrimer, produced at a minimum of 80% purity. In addition, isolated dendrimer-ligand species have been obtained at scales of tens of mg per batch and applied the isolation technology to ligands with terminal azide, alkene, thiol and cyclooctyne groups,
A strategy for the conjugation of an exact number of imaging agents (e.g., dyes) to the dendrimer is shown in Scheme 6. This process can be divided into two sections: 1) isolation of dendrimers with exact numbers of imaging agent conjugation ligands; and 2) conjugation of imaging agents (e.g., dyes) to dendrimer with exact numbers of imaging agent conjugation ligands. The isolation protocol uses a generation 5 PAMAM dendrimer with alkene - ierminated isolation ligands and a gradient elution of water and acetonitrile (with 0.14% trifluoroacetic acid). Fractionation and collection with a semi-preparative HPLC obtains isolated dendrimer particles with exact numbers of isolation ligands per particle (n = I, 2, 3...9), In a second step, conjugation of a thiol-modified AF488 to the dendrimer with exact numbers of alkynes is based on previously published conditions for LiV-catalyzed thiol-ene 'click' chemistry (see, e.g., Kilfops, K. L.; et al., Journal of the American Chemical Society 2008, 130, (15), 5062). An excess of imaging agent (e.g., dye) is used to drive the conversion of the alkene groups. The purity of the PAMAM dendrimer wiih exact numbers of alkene ligands is assessed by HPLC and JH NMR. PAMAM dendrimer with exact numbers of d by HPLC and NMR as well as by ffuorimetry, and UV-vis.
Figure imgf000090_0001
(Sheme 6)
HPLC characterization of the dendimer-imaging agent (e.g., dye) conjugates combined with a peak fitting method (see, e.g., Mullen, D. G.; et al., Acs Nano 2010, 4, (2), 657-670) are used to determine the purity of the dendrimer- dye conjugates. This information is independently confirmed by NMR, ffuorimetry, and UV-vis characterization which provide an averaged dye/dendrimer ratio.
A general approach for producing antibodies conjugated with modular dendrimer nanoparticles having exact numbers of imaging agnets (e.g., dye molecules) is shown in Schemes 7 and 8. HOOCX NCOOH
Figure imgf000091_0001
(Scheme 7); wherein Rl a Hgand is configured to facilitate conjugation with another chemical group via click chemistry (e.g., cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group); wherein R4 is a chemical group that reacts with Rl via a click chemistry reaction.
(Scheme 8)
Figure imgf000091_0002
The approach shown in Schemes 7 and 8 is utilized as to precisely control the number and location of conjugated dendrimer and to preserve the specific antigen-binding function of the antibody. The two carboxylic acid groups located ai ihe c -termini of ihe antibody Fc region are utilized as unique conjugation sites. Although other carboxylic acid groups are present at other regions of the antibody (in aspartic acid and glutamic acid groups and at the c-termini of the hinge region), these groups are considered unreactive either due to post- transcriptional modifications or due to steric blockage. As such, in some embodiments, modification of these c-termini carboxylic acid groups with an azide-terminated linker provides an orthogonal site for controlling antibody-dendrkner conjugation. Alternative types of orthogonal coupling are shown in Table 3 and include copper catalyzed alkyne-azide 'click' reaction. In addition, spacer molecules can be used to reduce imaging agent (e.g., dye molecule) self-quenching.
Figure imgf000092_0001
Example 6
This example demonstrates thai precisely defined conjugates affect cellular localization and yield unique spectroscopic signal .
Precisely Defined Generation 5 poiy(amidoamme) (G5 PAMAM) DendrimenDye samples were prepared using a direct conjugation method of 5-carboxytetramethyirhodamine (TAMRA) and separation of the stochastic material using re verse-phase high performance liquid chromatography (rp-HPLC). The material produced from the column is positively charged with 1-4 numbers of dyes precisely conjugated to the G5 PAMAM dendrimer. The samples were characterized by analytical rp-UPLC, Ή NMR, MALDI-TOF-MS, emission, and absorption UV-VIS. These samples were incubated with HEK293A cells for 3 hours at a concentration of 0.5 μΜ in semm free media, and then fixed onto slides. Lifetime studies were conducted in order to determine if the fluorescent dye had a change in lifetime based on number of dye on the dendrimer. G5-NH2-TAMRAi has a lifetime value of ~2 ns both in cell and in solution. As TAMRA is conjugated to dendrimer lifetime decreases, GS-NEfe-TAMRAj ^ )- t the type of conjugate typically employed previously has a lifetime value of ~ 1 ns in a cell. The results for all samples are shown in Figure 4 with lifetimes grey-scale-coded (brighter grey / white ~ 2 ns to grey ~ i ns).
The distribution of the polymer-dye conjugate is also dramatically different. G5- TAMRAi is diffuse in the cell whereas 'TAMRA conjugates with multiple dyes, as well as G5-NH2-TAMRAi.5(av ), exhibit the more typically observed punctate distribution. This is remarkable since G5-NH2-TAMRAi.5(aVg) still contains roughly 34% G5-TAMRAi in the mixture, yet its cell distribution is completely different.
In summary, G5-NH2-TAMRAi has unique biodistribution properties, and unique spectroscopic signature, as compared to the rest of the precise ratio conjugates and the typically prepared average conjugate containing distribution of dyes. This is significant because endosomal/lysomal escape is a major consideration for drug/gene delivery.
INCORPORATION BY REFERENCE
The entire disclosure of each of the patent documents and scientific articles referred to herein is incorporated by reference for all purposes. EQUIVALENTS
The invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The foregoing embodiments are therefore to be considered in all respects illustrative rather than limiting the invention described herein.
Scope of the invention is thus indicated by the appended claims rather than by the foregoing description, and all changes that come within the meaning and range of equivalency of the claims are intended to be embraced therein.

Claims

We claim:
1. A composition comprising a plurality of antibodies, wherein each of said plurality of antibodies are conjugated with two modular dendrimer nanoparticles, wherein approximately 70% or more of said modular dendrimer nanoparticles are conjugated with a precise number and kind of imaging agents,
2 , The composition of claim 1, wherein said approximately 70% or more is 75% or higher.
3. The composition of claim I, wherein said approximately 70% or more is 80% or higher. 4. The composition of claim 1, wherem said approximately 70% or more is 85% or higher.
5. The composition of claim 1 , wherein said antibody is an antibody selected from the group consisting of the antibodies shown in Table 1 and 2.
6. The composition of claim 1 , wherein said approximately 70% or more is 99.999% or higher.
7. The composition of claim 1 , wherein said modular dendrimer nanoparticles comprise PAMAM dendrimers.
8. The composition of claim 1, wherein each of said plurality of antibodies are monoclonal antibodies or polyclonal antibodies. 9. The composition of claim 1, wherem each of said plurality of antibodies have an antibody Fc region, wherein said conjugation between said antibodies and said modular dendrimer nanoparticles occurs at said antibody Fc region.
0. The composition of claim 9, wherein said conjugation at said antibody Fc region occurs via a 1,3 -dipolar cycioaddition reaction.
1 1. The composition of claim 1 , wherein said number of imaging agents is between 2 and 16.
12. The composition of claim , wherein said kind of imaging agent is selected from the group consisting of Alexa Fluor 350 (blue), Alexa Fluor 405 ( violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Aiexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Aiexa Fluor 660 (red), Aiexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothioeyanaie (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant VioletfM 421 , BD Horizon1 M V450, Pacific Blue™, AmCyan, phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon™ PE- CF594, PI, 7-AAD, ailophyeocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FiuorX™, TraRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, aminocoumarin, 3-azidoeoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight© 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Atto 532, Atto Rho6G, Atto 550, Atto 565, Atto 590, Atto 594, Atto 633, Atto Rhoi I, Atto Rhol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™620R, CF™633, CF™640R, CF™647, CF™660, CF™660R,
CF™680, CF™680R, CF™750, CF™770, CF™79(), 139La, 141Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146Nd, 147Sm, 148Nd, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 17i Yb, 172Yb, 174Yb, 175Lu, and I76 Yb.
13. The composition of claim 1, wherein said modular dendrimer nanoparticle is conjugated with one or more additional functional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
14. The composition of claim 13, wherein said therapeutic agents are selected from the group consisting of chemotherapeutie agents, anti-oncogenic agents, anti-angiogenic agents, tumor suppressor agents, anti-microbial agents, expression constructs comprising a nucleic acid encoding a therapeutic protein, pain relief agents, pain relief agent antagonists, agents designed to treat arthritis, agents designed to treat inflammatory bowel disease, agents designed to treat an autoimmune disease, and agents designed to treat inflammatory peivic disease.
15. The composition of claim 14, wherein said chemotherapeutie agent is methotrexate.
16. The composition of claim 1 , wherein said dendrimers within said plurality of modular dendrimer nanopaiticles have terminal branches, wherem said terminal branches comprise a blocking agent. 17. The composition of claim 16, wherein said blocking agent comprises an acetyl group.
18. A composition comprising a plurality of modular dendrimer nanopaiticles, wherein approximately 70% of said plurality of modular dendrimer nanoparticles have a precise number of imaging agent conjugation ligands.
19. The composition of claim 18, wherein said approximately 70% or more is 75% or higher.
20. The composition of claim 18, wherein said approximately 70% or more is 80% or higher.
21. The composition of claim 18, wherein said approximately 70% or more is 90% or higher. 22. The composition of claim 18, wherein said approximately 70% or more is 95% or higher.
23. The composition of claim I S, wherein said imaging agent conjugation ligand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group. 24. The composition of claim 18, wherein said imaging agent conjugation ligand is configured for attachment with attachment iigands complexed with imaging agents.
25. The composition of claim 18, wherein each of said plurality of modular dendrimer nanoparticles further comprise an antibody conjugation ligand.
26. The composition of claim 25, wherein said antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fiuorinated cyclooctyne group, and an alkyne group. 27. The composition of claim 25, wherein said antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
28. The composition of claim 18, wherein said imaging agent conjugation Iigands are conjugated with imaging agents.
29. The composition of claim 28, wherein said imaging agents are selected from the group consisting of Alexa Fluor 350 (blue), Alexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Aiexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Alexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isothiocyanate (FITC), 6-TAMARA, acridine orange, cis-parinaric acid, Hoechst 33342, Brilliant Violet™ 421 , BD Horizon1 M V450, Pacific BluelM, Am Cyan, phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon1 PE- CF594, PI, 7-AAD, ailophyeocyanm (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC-H7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FluorX™, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycoumarin, coumarin, hydroxycoumarin, aminocoumarin, 3-azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Atto 532, Atto RI106G, Atto 550, Atto 565, Atto 590, Atto 594, Atto 633, Atto Rhol 1 , Atto Rhol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™620R, CF™633, CF™640R, CF™647, CF™66(), CF™660R, CF™680, CF™680R, CF™750, CF™770,CF™790139La, 141Pr, 142 d, 143Nd, 144Nd, 145 d, 146Nd, 147Sm, 148 d, 149Sm, 150 d, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tm, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb.
30. The composition of claim 25, wherein said antibody conjugation figand is conjugated with an antibody.
31. The composition of claim 30, wherein said conjugation with an antibody is at the Fc region of said antibody.
32. The composition of claim 30, wherein said conjugation with an antibody occurs via a 1,3 -dipolar cycloaddition reaction.
33. The composition of claim 18, wherein said antibody is an antibody selected from the group consisting of the antibodies shown in Table 1 and Table 2.
34. The composition of claim 18, wherein each of said plurality of modular dendrimer nanoparticles are conjugated with one or more additional functional groups selected from the group consisting of therapeutic agents, targeting agents, and trigger agents.
35. The composition of claim 34, wherein said therapeutic agents are selected from the group consisting of chemotherapeutic agents, anti-oneogenic agents, anti-angiogenic agents, tumor suppressor agents, anti -microbial agents, expression constructs comprising a nucleic acid encoding a therapeutic protein, pain relief agents, pain relief agent antagonists, agents designed to treat arthritis, agents designed to treai inflammatory bowel disease, agents designed to treat an autoimmune disease, and agents designed to treat inflammatory pelvic disease.
36. The composition of claim 18, wherein said dendrimers within said plurality of modular dendrimer nanoparticies have terminal branches, wherein said terminal branches comprise a blocking agent. 37. The composition of claim 36, wherein said blocking agent comprises an acetyl group.
38. The composition of claim 31, wherein said antibody is a monoclonal antibody or a polyclonal antibody. 39. A method for generating pluralities of modular dendrimer nanoparticies wherein approximately 70% or more of said pluralities of modular dendrimer nanoparticies have a precise number of imaging agent conjugation ligands, comprising:
a) conjugating imaging agent conjugation ligands with a plurality of dendrimer nanoparticies; and
b) separating said plurality of dendrimer nanoparticies conjugated with said imaging ageni conjugation ligands into pluralities based upon the number of imaging agent conjugation ligands conjugated to said dendrimer nanoparticies, wherein approximately 70% or more of each plurality of modular dendrimer nanoparticies have a precise number of imaging agent coiijugation ligands.
40. The method of claim 39, wherein said approximately 70% or more is 75% or higher.
41. The method of claim 39, wherein said approximately 70% or more is 80% or higher. 42. The method of claim 39, wherein said approximately 70% or more is 90% or higher.
43. The method of claim 39, wherein said approximately 70% or more is 95% or higher.
44. The method of claim 39, wherein said imaging agent conjugation figand is selected from the group consisting of an alkene group, a thiol group, a dieneophile group, and a diene group.
45. The method of claim 39, wherein said imaging agent conjugation ligand is configured for attaehrneni with attachment ligands compiexed with imaging agents.
46. The method of claim 39, further comprising:
c) conjugating an antibody conjugation ligand with one or more of said pluralities of modular dendrimer nanoparticles have a precise number of imaging agent coiijugation iigands.
47. The method of claim 46, wherein said antibody conjugation ligand is selected from the group consisting of a cyclooctyne group, a fluorinated cyclooctyne group, and an alkyne group.
48. The method of claim 46, wherein said antibody conjugation ligand is configured to facilitate conjugation with another chemical group via click chemistry.
49. The method of claim 46, further comprising:
d) conj gating imaging agents with one or more of said pluralities of modular dendrimer nanoparticles having a precise number of imaging agent conjugation iigands, wherein said conjugating occurs between said imaging agents and said imaging agent conjugation Iigands. 50. The method of claim 49, wherein said imaging agents are selected from the group consisting of Alexa Fluor 350 (blue), Aiexa Fluor 405 (violet), Alexa Fluor 430 (green), Alexa Fluor 488 (cyan-green), Alexa Fluor 500 (green), Alexa Fluor 514 (green), Alexa Fluor 532 (green), Aiexa Fluor 546 (yellow), Alexa Fluor 555 (yellow-green), Alexa Fluor 568 (orange), Alexa Fluor 594 (orange-red), Alexa Fluor 610 (red), Alexa Fluor 633 (red), Alexa Fluor 647 (red), Alexa Fluor 660 (red), Alexa Fluor 680 (red), Alexa Fluor 700 (red), Alexa Fluor 750 (red), fluorescein isot iocyanate (FITC), 6-TAMARA, acridine orange, cis- parinaric acid, Hoechst 33342, Brilliant VioletiM 421, BD Horizon™ V450, Pacific Blue'M, AmCyan, phycoerythrin (PE), Brilliant Violet™ 605, BD Horizon™ PE-CF594, PI, 7-AAD, allophycocyanin (APC), PE-Cy™5, PerCP, PerCP-Cy™5.5, PE-Cy™7, APC-Cy7, BD APC- FI7, Texas Red, Lissamine Rhodamine B, X-Rhodamine, TRITC, Cy2, Cy3, Cy3B, Cy3.5, Cy5.5, Cy7, BODIPY-FL, FluorX™, TruRed, Red 613, NMD, Lucifer yellow, Pacific Orange, Pacific Blue, Cascade Blue, Methoxycouniarin, coumarin, hydroxycoumarin, aminocoumarm, 3-azidocoumarin, DyLight 350, DyLight 405, DyLight 488, DyLight® 550, DyLight 594, DyLight 633, DyLight® 650, DyLight 680, DyLight 755, DyLight 800, Tracy 645, Tracy 652, Atto 488, Atto 520, Alio 532, Atto Rho6G, Atto 550, Atto 565, Atto 590, Alto 594, Atto 633, Atto Rhol 1, Atto Rliol4, Atto 647, Atto 647N, Atto 655, Atto 680, Atto 700, CF™350, CF™405S, CF™405M, CF™488A, CF™543, CF™555, CF™568, CF™594, CF™620R, CF™633, CF™640R, CF™647, CF™660, CF™660R, CF™680, CF™680R, CF™750, CF™770, CF™790 39La, 141Pr, 142Nd, 143Nd, 144Nd, 145Nd, 146Nd, 147Sm, 148 d, 149Sm, 150Nd, 151Eu, 152Sm, 153Eu, 154Sm, 156Gd, 158Gd, 159Tb, 160Gd, 162Dy, 164Dy, 165Ho, 166Er, 167Er, 168Er, 169Tra, 170Er, 171Yb, 172Yb, 174Yb, 175Lu, and 176Yb. 51. The method of claim 49, further comprising:
e) conjugating two of said modular dendrimer nanoparticies having a precise number of imaging agent conjugation iigands from one or more of said pluralities with an antibody. 52. The method of claim 51 , wherein said conjugation with an antibody is at the Fc region of said antibody.
53. The method of claim 51 , wherein said conjugation with an antibody occurs via a 1 ,3- dipolar cycloaddition reaction.
54. The method of claim 51, wherein said antibody is an antibody selected from the group consisting of the antibodies shown in Table 1 and Table 2.
55. The method of claim 39, wherein said separating comprises:
application of reverse phase FIPLC to yield a subpopulation of pluralities based upon the number of imaging agent conjugation Iigands conjugated to said dendrimer nanoparticies indicated by a chromatographic trace, and
applying a peak fitting analysis to said chromatographic trace to identify pluralities of modular dendrimer nanoparticies wherein approximately 70% or more of said pluralities of modular dendrimer nanoparticies have a precise number of imaging agent conj gation
Iigands.
56. The method of claim 55, wherein said reverse phase HPLC is performed using silica gel media comprising a carbon moiety, said carbon moiety ranging from C3 to C8.
57. The method of claim 55, wherein said re verse phase HPLC is performed using C5 silica gel media. 58. The method of claim 55, wherein said reverse phase HPLC is conducted using a mobile phase for elution of said iigand-eonjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) water: acetonitrile and ending with 20:80 (v/v) water:acetomtriie. 59. The method of claim 55, wherein said reverse phase HPLC is conducted using a mobile phase for elution of said iigand-eonjugated dendrimers, wherein the mobile phase comprises a linear gradient beginning with 100:0 (v/v) watenisopropanol and ending with 20:80 (v/v) watenisopropanol. 60. The method of claims 58 or 59, wherein said gradient is applied at a flow rate of 1 mi/min.
61. The method of claims 58 or 59, wherein said gradient is applied at a flow rate of 10 mi/min.
62. The method of claim 55, wherein said peak fitting analysis is performed using a Gaussian fit with an exponential decay tail.
63. A method of imaging, comprising
administering to a sample one or more of the plurality of antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents as recited in claim 1, wherein said antibodies are capable of binding a cell surface antigens associated with said antibodies, and
wherein upon binding with said cell surface antigens associated with said antibodies said imaging agents are detected.
64. The method of claim 63, wherein said sample is a cell sample selected from the group consisting of an in vitro cell sample, an ex vivo cell sample, an in situ cell sample, and an in vivo cell sample.
65. The method of claim 63, wherein said sample is within a living subject.
66. A method of imaging a tissue region of interest in a subject, comprising
administering to the subject one or more antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents as recited in claim 1, wherein said one or more antibodies bind to said tissue region of interest, and
wherein upon binding with said tissue region of interest said imaging agents are detected.
67. The method of claim 66, wherein said subject is a living mammal.
68. The method of claim 66, wherein imaging is used to characterize said tissue region of interest.
69. The method of claim 68, wherein said characterizing is diagnosing the presence or absence of a disorder.
70. A method of imaging a tissue region of interest in a subject, comprising
obtaining a sample from a subject, wherein said sample comprises a tissue region of interest in said subject,
administering to said sample one or more antibodies conjugated with two modular dendrimer nanoparticles having a precise number and kind of imaging agents as recited in claim 1, wherein said one or more antibodies bind to said tissue region of interest, and
wherein upon binding with said tissue region of interest said imaging agents are detected.
71. The method of claim 70, wherein said subject is a living mammal. 72. The method of claim 70, wherein imaging is used to characterize said tissue region of interest,
73. The method of claim 72, wherein said characterizing is diagnosing the presence or absence of a disorder.
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